Provider Demographics
NPI:1235887712
Name:SANCHEZ, LIZZIE A (MA)
Entity Type:Individual
Prefix:
First Name:LIZZIE
Middle Name:A
Last Name:SANCHEZ
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2430 PASEO ARCE
Mailing Address - Street 2:
Mailing Address - City:TOA BAJA
Mailing Address - State:PR
Mailing Address - Zip Code:00949-4335
Mailing Address - Country:US
Mailing Address - Phone:787-235-6870
Mailing Address - Fax:
Practice Address - Street 1:2430 PASEO ARCE
Practice Address - Street 2:
Practice Address - City:TOA BAJA
Practice Address - State:PR
Practice Address - Zip Code:00949-4335
Practice Address - Country:US
Practice Address - Phone:787-235-6870
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-03-14
Last Update Date:2022-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR7266103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist