Provider Demographics
NPI:1639585052
Name:VOSS, ELIZABETH LYN (LMHC)
Entity Type:Individual
Prefix:
First Name:ELIZABETH
Middle Name:LYN
Last Name:VOSS
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:ELIZABETH
Other - Middle Name:LYN
Other - Last Name:WIDMER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2005 ASBURY RD
Mailing Address - Street 2:
Mailing Address - City:DUBUQUE
Mailing Address - State:IA
Mailing Address - Zip Code:52001-3042
Mailing Address - Country:US
Mailing Address - Phone:563-583-7357
Mailing Address - Fax:563-583-7026
Practice Address - Street 1:2175 LEXINGTON BLVD
Practice Address - Street 2:BLDG 2
Practice Address - City:WASHINGTON
Practice Address - State:IA
Practice Address - Zip Code:52353-9108
Practice Address - Country:US
Practice Address - Phone:319-653-6161
Practice Address - Fax:319-863-1311
Is Sole Proprietor?:No
Enumeration Date:2014-07-07
Last Update Date:2014-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA00940101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health