Liza Jill Ravitz in Petaluma - Psychologist
Liza Jill Ravitz - NPI 1578698619
Liza Jill Ravitz is a Psychologist in Petaluma, California. Liza Jill Ravitz practices all healthcare services and medical treatments related to Psychologist. The NPI Number for Liza Jill Ravitz is 1578698619. The last update date is 2007-07-08.
Liza Jill Ravitz's current location address is 318 Western Ave, Petaluma, California. You can contact this provider via phone number 7077627828 and fax number 7077731761. The mailing address for Liza Jill Ravitz is 318 Western Ave, Petaluma, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Liza Jill Ravitz |
|---|---|
| Address | 318 Western Ave, Petaluma, California |
| Phone Number | 7077627828 |
| Fax Number | 7077731761 |
| Sole Proprietor | Y |
| Credentials | LIZA RAVIT |
NPI Number Detail
| NPI Number | 1578698619 |
|---|---|
| Provider Enumeration Date | 2007-02-22 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 318 Western Ave |
|---|---|
| City | Petaluma |
| State | California (CA) |
| Post Code | 949522919 |
| Phone Number | 7077627828 |
| Fax Number | 7077731761 |
Provider's Primary Taxonomy Detail
| Speciality | Psychologist |
|---|---|
| Taxonomy | 103T00000X |
| Licence No | PSY6295 |
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Definition: A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and proce |
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Post Comment/ Review Below
What is the unique provider identifier assigned to Liza Jill Ravitz?
The Liza Jill Ravitz has been issued the NPI (National Provider Identifier) 1578698619 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you provide the complete physical address where Liza Jill Ravitz is located?
The Liza Jill Ravitz is situated at the following address: 318 Western Ave, Petaluma, CA, 949522919.
What is Liza Jill Ravitz's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Liza Jill Ravitz is Psychologist, and the taxonomy code that categorizes this field of expertise is 103T00000X.
On what date did the Liza Jill Ravitz receive the assignment of its 1578698619 from the Centers for Medicare & Medicaid Services?
The Liza Jill Ravitz was issued its 1578698619 by the Centers for Medicare & Medicaid Services on 2007-02-22.
When was the information related to Liza Jill Ravitz most recently updated or refreshed?
The details pertaining to the Liza Jill Ravitz, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-07-08.
NPI Number: 1457354839
Address: P.o. Box 1252, Spartanburg, SC