Provider Demographics
NPI:1215785274
Name:VANDERHOOF, ELIZABETH K
Entity type:Individual
Prefix:
First Name:ELIZABETH
Middle Name:K
Last Name:VANDERHOOF
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9035A STEILACOOM RD SE
Mailing Address - Street 2:
Mailing Address - City:OLYMPIA
Mailing Address - State:WA
Mailing Address - Zip Code:98513-1757
Mailing Address - Country:US
Mailing Address - Phone:360-819-3789
Mailing Address - Fax:
Practice Address - Street 1:9035A STEILACOOM RD SE
Practice Address - Street 2:
Practice Address - City:OLYMPIA
Practice Address - State:WA
Practice Address - Zip Code:98513-1757
Practice Address - Country:US
Practice Address - Phone:360-819-3789
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-05-07
Last Update Date:2024-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician