Doctor Name: | LIZA ANNE RESTIFO |
NPI Number: | 1174635825 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LCSW, LCADC |
License Number: | 37LC00041300 |
Business Practice Address: | 3200 Sunset Ave Suite 211 Ocean, NJ - 077124567 |
Business Phone Number: | 9084893690 |
Business Fax Number: | |
Mailing Address: | 3200 Sunset Ave, Suite 211 OCEAN |
State: | NJ |
Postal Code: | 077124567 |
Phone Number: | 9084893690 |
Fax Number: | |
NPI Enumeration Date: | 08/31/2006 |
NPI Last Update Date: | 10/22/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YA0400X |
License Number: | 37LC00041300 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | NJ |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Addiction (Substance Use Disorder) |
Taxonomy Definition: |