Provider Demographics
NPI:1265686844
Name:TOON, ELIZABETH QUINN (MA)
Entity Type:Individual
Prefix:MRS
First Name:ELIZABETH
Middle Name:QUINN
Last Name:TOON
Suffix:
Gender:F
Credentials:MA
Other - Prefix:MRS
Other - First Name:BETH
Other - Middle Name:QUINN
Other - Last Name:TOON
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MA
Mailing Address - Street 1:5 W ALDER ST
Mailing Address - Street 2:SUITE 324
Mailing Address - City:WALLA WALLA
Mailing Address - State:WA
Mailing Address - Zip Code:99362-2863
Mailing Address - Country:US
Mailing Address - Phone:509-522-2405
Mailing Address - Fax:
Practice Address - Street 1:5 W ALDER ST
Practice Address - Street 2:SUITE 324
Practice Address - City:WALLA WALLA
Practice Address - State:WA
Practice Address - Zip Code:99362-2863
Practice Address - Country:US
Practice Address - Phone:509-522-2405
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-11-10
Last Update Date:2008-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALH00010955101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health