Healthcare Provider Details

I. General information

NPI: 1831679364
Provider Name (Legal Business Name): ELIZABETH HOOKS PH.D, LP, BCBA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: ELIZABETH WEHRHEIM PH.D, LP, BCBA

II. Dates (important events)

Enumeration Date: 08/15/2018
Last Update Date: 07/29/2026
Certification Date: 07/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3415 IRVING AVE S
MINNEAPOLIS MN
55408-3323
US

IV. Provider business mailing address

3415 IRVING AVE S
MINNEAPOLIS MN
55408-3323
US

V. Phone/Fax

Practice location:
  • Phone: 708-560-3985
  • Fax:
Mailing address:
  • Phone: 708-560-3985
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License NumberL6322
License Number StateMN
# 2
Primary TaxonomyN
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number1-16-22992
License Number StateMN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: