Provider Demographics
NPI:1699463794
Name:YERGER, ELIZABETH ELORA
Entity type:Individual
Prefix:
First Name:ELIZABETH
Middle Name:ELORA
Last Name:YERGER
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 1:1075 KINGWOOD DR STE 204
Mailing Address - Street 2:
Mailing Address - City:KINGWOOD
Mailing Address - State:TX
Mailing Address - Zip Code:77339-3000
Mailing Address - Country:US
Mailing Address - Phone:610-401-8174
Mailing Address - Fax:
Practice Address - Street 1:1075 KINGWOOD DR STE 204
Practice Address - Street 2:
Practice Address - City:KINGWOOD
Practice Address - State:TX
Practice Address - Zip Code:77339-3000
Practice Address - Country:US
Practice Address - Phone:832-262-4748
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-04-26
Last Update Date:2023-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
205039106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist