Provider Demographics
NPI:1760909709
Name:TESCHNER, ELIZABETH M H (PHD LP)
Entity Type:Individual
Prefix:DR
First Name:ELIZABETH
Middle Name:M H
Last Name:TESCHNER
Suffix:
Gender:F
Credentials:PHD LP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 449
Mailing Address - Street 2:
Mailing Address - City:ANAHOLA
Mailing Address - State:HI
Mailing Address - Zip Code:96703-0449
Mailing Address - Country:US
Mailing Address - Phone:218-213-8282
Mailing Address - Fax:
Practice Address - Street 1:4886 KAWAIHAU RD RM A30
Practice Address - Street 2:
Practice Address - City:KAPAA
Practice Address - State:HI
Practice Address - Zip Code:96746-1930
Practice Address - Country:US
Practice Address - Phone:808-821-6972
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-08-29
Last Update Date:2020-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HI1664103TC0700X, 103TS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TS0200XBehavioral Health & Social Service ProvidersPsychologistSchool
No103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical