Provider Demographics
NPI:1548681661
Name:DENEEF, ELIZABETH CATHERINE (MA ART THERAPY)
Entity type:Individual
Prefix:MRS
First Name:ELIZABETH
Middle Name:CATHERINE
Last Name:DENEEF
Suffix:
Gender:F
Credentials:MA ART THERAPY
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 253
Mailing Address - Street 2:
Mailing Address - City:OKAWVILLE
Mailing Address - State:IL
Mailing Address - Zip Code:62271-0253
Mailing Address - Country:US
Mailing Address - Phone:618-493-7382
Mailing Address - Fax:618-493-7504
Practice Address - Street 1:350 N MAIN ST
Practice Address - Street 2:
Practice Address - City:HOYLETON
Practice Address - State:IL
Practice Address - Zip Code:62803-2006
Practice Address - Country:US
Practice Address - Phone:618-493-7382
Practice Address - Fax:618-493-7504
Is Sole Proprietor?:No
Enumeration Date:2013-12-16
Last Update Date:2013-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health