Provider Demographics
NPI:1477337699
Name:ZIZZA, SASHA LEE
Entity Type:Individual
Prefix:
First Name:SASHA
Middle Name:LEE
Last Name:ZIZZA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:711 N WAYNE ST APT 303
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:VA
Mailing Address - Zip Code:22201-1871
Mailing Address - Country:US
Mailing Address - Phone:907-406-8245
Mailing Address - Fax:
Practice Address - Street 1:2100 CLARENDON BLVD
Practice Address - Street 2:
Practice Address - City:ARLINGTON
Practice Address - State:VA
Practice Address - Zip Code:22201-5447
Practice Address - Country:US
Practice Address - Phone:703-228-1567
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-08-21
Last Update Date:2023-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health