Doctor Name: | ELIZABETH LANZA |
NPI Number: | 1073646956 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.S. |
License Number: | 41YA00017300 |
Business Practice Address: | 505 Goffle Rd Ridgewood, NJ - 074504027 |
Business Phone Number: | 2016121006 |
Business Fax Number: | |
Mailing Address: | 51 Merrill Dr, MAHWAH |
State: | NJ |
Postal Code: | 074302973 |
Phone Number: | 2018480262 |
Fax Number: | |
NPI Enumeration Date: | 03/13/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 231HA2400X |
License Number: | 41YA00017300 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NJ |
Taxonomy Type: | Speech, Language and Hearing Service Providers |
Taxonomy Classification: | Audiologist |
Taxonomy Specialization: | Assistive Technology Practitioner |
Taxonomy Definition: |