| Doctor Name: | ALIZA SEPTIMUS |
| NPI Number: | 1275552515 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PSYD |
| License Number: | 013945-1 |
| Business Practice Address: | 553 Willow Ave Cedarhurst, NY - 115162200 |
| Business Phone Number: | 5169838003 |
| Business Fax Number: | |
| Mailing Address: | 556 Church Ave, WOODMERE |
| State: | NY |
| Postal Code: | 115982730 |
| Phone Number: | 5165699035 |
| Fax Number: | |
| NPI Enumeration Date: | 07/18/2006 |
| NPI Last Update Date: | 07/09/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC2200X |
| License Number: | 013945-1 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NY |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Clinical Child & Adolescent |
| Taxonomy Definition: | |