Provider Demographics
NPI:1225080450
Name:KAUFF, ELIZABETH (MA)
Entity type:Individual
Prefix:MS
First Name:ELIZABETH
Middle Name:
Last Name:KAUFF
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:100 PROFESSIONAL CT STE 103
Mailing Address - Street 2:
Mailing Address - City:GARNER
Mailing Address - State:NC
Mailing Address - Zip Code:27529-7971
Mailing Address - Country:US
Mailing Address - Phone:919-436-6152
Mailing Address - Fax:844-238-4433
Practice Address - Street 1:100 PROFESSIONAL CT STE 103
Practice Address - Street 2:
Practice Address - City:GARNER
Practice Address - State:NC
Practice Address - Zip Code:27529-7971
Practice Address - Country:US
Practice Address - Phone:919-436-6152
Practice Address - Fax:844-238-4433
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-16
Last Update Date:2024-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC141UFOtherBCBS PROVIDER NUMBER
NC6107365Medicaid