Healthcare Provider Details

I. General information

NPI: 1780209817
Provider Name (Legal Business Name): ELIZABETH MARIE PFEIFFER M.A.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/15/2020
Last Update Date: 09/22/2026
Certification Date: 09/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3867 HOWE ST OFC 8
OAKLAND CA
94611-5343
US

IV. Provider business mailing address

2024 PRINCE ST UNIT B
BERKELEY CA
94703-2519
US

V. Phone/Fax

Practice location:
  • Phone: 817-948-8167
  • Fax:
Mailing address:
  • Phone: 817-948-8167
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberAMFT143518
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: