Provider Demographics
NPI:1225225683
Name:ELIZABETH HAYES, PSY.D., L.P., PLLC
Entity Type:Organization
Organization Name:ELIZABETH HAYES, PSY.D., L.P., PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LICENSED PSYCHOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:ELIZABETH
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:HAYES
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD
Authorized Official - Phone:651-645-8300
Mailing Address - Street 1:821 RAYMOND AVE
Mailing Address - Street 2:BAKER COURT SUITE 200
Mailing Address - City:SAINT PAUL
Mailing Address - State:MN
Mailing Address - Zip Code:55114-1503
Mailing Address - Country:US
Mailing Address - Phone:651-645-8300
Mailing Address - Fax:651-645-4603
Practice Address - Street 1:821 RAYMOND AVENUE
Practice Address - Street 2:BAKER COURT SUITE 200
Practice Address - City:SAINT PAUL
Practice Address - State:MN
Practice Address - Zip Code:55114
Practice Address - Country:US
Practice Address - Phone:651-645-8300
Practice Address - Fax:651-645-4603
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-10-01
Last Update Date:2007-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MNLP4495103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty