Provider Demographics
NPI:1356645915
Name:TUERK, ELENA HONTORIA (PHD)
Entity Type:Individual
Prefix:DR
First Name:ELENA
Middle Name:HONTORIA
Last Name:TUERK
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:ELENA
Other - Middle Name:
Other - Last Name:HONTORIA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHD
Mailing Address - Street 1:1 BOARS HEAD LN STE B-6
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTESVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:22903-4681
Mailing Address - Country:US
Mailing Address - Phone:434-230-2233
Mailing Address - Fax:
Practice Address - Street 1:1 BOARS HEAD LN STE B-6
Practice Address - Street 2:
Practice Address - City:CHARLOTTESVILLE
Practice Address - State:VA
Practice Address - Zip Code:22903-4681
Practice Address - Country:US
Practice Address - Phone:434-230-2233
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-12-22
Last Update Date:2023-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0810005951103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA0810005951OtherSTATE LICENSING BOARD