Provider Information for 1962085118
The following NPI(s) contain information matching your search criteria. Please select the NPI to view all the data associated with the NPI.
Please Note: Issuance of an NPI does not ensure or validate that the Health Care Provider is Licensed or Credentialed. For more information please refer to NPI: What You Need to Know
SAVANNAH KIZZIE LPC
Sex: Female
NPI: 1962085118
Last Updated: 2023-11-13
Certification Date: 2023-11-13
Certification Date: 2023-11-13
Details
| Name | Value | ||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| NPI | 1962085118 | ||||||||||||
| Enumeration Date | 2021-05-04 | ||||||||||||
| NPI Type | NPI-1 Individual | ||||||||||||
| Sole Proprietor | YES | ||||||||||||
| Status | Active | ||||||||||||
| Mailing Address | 4114 SKYLINE AVE EL PASO, TX 79904-1238 United States Phone: 916-601-4024 | Fax: | ||||||||||||
| Primary Practice Address | 4114 SKYLINE AVE EL PASO, TX 79904-1238 United States Phone: 916-601-4024 | Fax: | ||||||||||||
| Secondary Practice Address(es) | |||||||||||||
| Health Information Exchange |
| ||||||||||||
| Other Identifiers |
| ||||||||||||
| Taxonomy |
|