Provider Demographics
NPI:1053502906
Name:HECHT, LIZA (PSYD)
Entity Type:Individual
Prefix:
First Name:LIZA
Middle Name:
Last Name:HECHT
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5823 VIRMAR AVE
Mailing Address - Street 2:
Mailing Address - City:OAKLAND
Mailing Address - State:CA
Mailing Address - Zip Code:94618-1536
Mailing Address - Country:US
Mailing Address - Phone:510-334-5100
Mailing Address - Fax:
Practice Address - Street 1:GIRLS INCORPORATED OF ALAMEDA COUNTY
Practice Address - Street 2:13666 EAST 14TH STREET
Practice Address - City:SAN LEANDRO
Practice Address - State:CA
Practice Address - Zip Code:94578
Practice Address - Country:US
Practice Address - Phone:510-357-5515
Practice Address - Fax:510-357-5512
Is Sole Proprietor?:Yes
Enumeration Date:2007-08-06
Last Update Date:2007-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program