Basic Information
| Provider Information | |||||||||
| NPI: | 1225093487 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | PIZER | ||||||||
| FirstName: | ELLEN | ||||||||
| MiddleName: | SARA | ||||||||
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| Credential: | MSW LCSW | ||||||||
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| Mailing Information | |||||||||
| Address1: | 3809 COMPUTER DR | ||||||||
| Address2: | SUITE 201 | ||||||||
| City: | RALEIGH | ||||||||
| State: | NC | ||||||||
| PostalCode: | 276096518 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9197826700 | ||||||||
| FaxNumber: | 9197822218 | ||||||||
| Practice Location | |||||||||
| Address1: | 3809 COMPUTER DR | ||||||||
| Address2: | SUITE 201 | ||||||||
| City: | RALEIGH | ||||||||
| State: | NC | ||||||||
| PostalCode: | 276096518 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9199903411 | ||||||||
| FaxNumber: | 9197822218 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 04/19/2006 | ||||||||
| LastUpdateDate: | 07/08/2007 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | X | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 1041C0700X | NCC004156 | NC | Y | Behavioral Health & Social Service Providers | Social Worker | Clinical |
No ID Information.