Provider Demographics
NPI:1598960478
Name:KOHLHEPP, ELIZABETH A (MD)
Entity Type:Individual
Prefix:DR
First Name:ELIZABETH
Middle Name:A
Last Name:KOHLHEPP
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:8655 E VIA DE VENTURA
Mailing Address - Street 2:SUITE G180
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85258-3300
Mailing Address - Country:US
Mailing Address - Phone:480-607-3520
Mailing Address - Fax:480-607-3521
Practice Address - Street 1:8655 E VIA DE VENTURA
Practice Address - Street 2:SUITE G180
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85258-3300
Practice Address - Country:US
Practice Address - Phone:480-607-3520
Practice Address - Fax:480-607-3521
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
AZ257802084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry