Provider Demographics
NPI:1831679364
Name:WEHRHEIM, ELIZABETH (PHD, LP, BCBA)
Entity Type:Individual
Prefix:DR
First Name:ELIZABETH
Middle Name:
Last Name:WEHRHEIM
Suffix:
Gender:F
Credentials:PHD, LP, BCBA
Other - Prefix:DR
Other - First Name:ELIZABETH
Other - Middle Name:
Other - Last Name:HOOKS
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:PHD, LP, BCBA
Mailing Address - Street 1:7010 HIGHWAY 7
Mailing Address - Street 2:
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55426-4223
Mailing Address - Country:US
Mailing Address - Phone:612-416-2739
Mailing Address - Fax:
Practice Address - Street 1:7010 HIGHWAY 7
Practice Address - Street 2:
Practice Address - City:MINNEAPOLIS
Practice Address - State:MN
Practice Address - Zip Code:55426-4223
Practice Address - Country:US
Practice Address - Phone:952-814-0207
Practice Address - Fax:952-938-8838
Is Sole Proprietor?:No
Enumeration Date:2018-08-15
Last Update Date:2023-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MNL6322103TC0700X
MN1-16-22992103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
No103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst