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NPI Code Detail

MEDICARE: DR. CHARISSA D PIZARRO PSY. D

MEDICARE: DR. CHARISSA D PIZARRO PSY. D
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1103TC0700XClinical Psychologist35SI00548600NJ

General Provider Information

NPI Number : 1386011419
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. CHARISSA D PIZARRO PSY. D
Provider Business Mailing Address
First Line : 540 LIBERTY AVE
Second Line : FL 2
City : JERSEY CITY
State : NJ
Zip : 07307-4022
Country : US
Telephone Number : 201-456-4568
Fax Number :
Provider Business Practice Location Address
First Line : 506 3RD ST
Second Line :
City : HOBOKEN
State : NJ
Zip : 07030-1970
Country : US
Telephone Number : 201-736-7855
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/24/2015
Last Update Date : 08/24/2015

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