Provider Demographics
NPI:1497093843
Name:ALDRICH, ELIZABETH PIERCE (MT-BC)
Entity Type:Individual
Prefix:
First Name:ELIZABETH
Middle Name:PIERCE
Last Name:ALDRICH
Suffix:
Gender:F
Credentials:MT-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2176 MISSION ST
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94110-7217
Mailing Address - Country:US
Mailing Address - Phone:415-503-4139
Mailing Address - Fax:
Practice Address - Street 1:2176 MISSION ST
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94110-7217
Practice Address - Country:US
Practice Address - Phone:415-503-4139
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-01-18
Last Update Date:2013-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health