Provider Demographics
NPI:1497184584
Name:ARVIZZIGNO, NANCY (MA, LPC)
Entity Type:Individual
Prefix:
First Name:NANCY
Middle Name:
Last Name:ARVIZZIGNO
Suffix:
Gender:F
Credentials:MA, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:66 ELM ST STE 10
Mailing Address - Street 2:
Mailing Address - City:WESTFIELD
Mailing Address - State:NJ
Mailing Address - Zip Code:07090-5104
Mailing Address - Country:US
Mailing Address - Phone:908-625-7206
Mailing Address - Fax:
Practice Address - Street 1:66 ELM ST. TE 10
Practice Address - Street 2:
Practice Address - City:WESTFIELD
Practice Address - State:NJ
Practice Address - Zip Code:07090-5104
Practice Address - Country:US
Practice Address - Phone:908-625-7206
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-11-08
Last Update Date:2013-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ37PC00173700101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional