Doctor Name: | MRS. ELIZABETH PANGRAZZI |
NPI Number: | 1003026824 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MA |
License Number: | 6301009362 |
Business Practice Address: | 1225 E 11 Mile Rd Royal Oak, MI - 480672049 |
Business Phone Number: | 2489906177 |
Business Fax Number: | |
Mailing Address: | 750 11 Mile Rd, BERKLEY |
State: | MI |
Postal Code: | 480723034 |
Phone Number: | 2485479472 |
Fax Number: | |
NPI Enumeration Date: | 05/23/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TC0700X |
License Number: | 6301009362 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MI |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: |