| Doctor Name: | MS. ELIZABETH P. KOONTZ |
| NPI Number: | 1497930911 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LCSW-C |
| License Number: | 11091 |
| Business Practice Address: | 5301 76th Ave Landover Hills, MD - 207841703 |
| Business Phone Number: | 3014592121 |
| Business Fax Number: | 3014590675 |
| Mailing Address: | Family Service Foundation,inc 5301 76th Ave, LANDOVER HILLS |
| State: | MD |
| Postal Code: | 20784 |
| Phone Number: | 3014592121 |
| Fax Number: | 3014590675 |
| NPI Enumeration Date: | 01/03/2008 |
| NPI Last Update Date: | 01/03/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | 11091 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MD |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |