Provider Demographics
NPI:1659763175
Name:PAAP, LIZA (LCAT)
Entity Type:Individual
Prefix:
First Name:LIZA
Middle Name:
Last Name:PAAP
Suffix:
Gender:F
Credentials:LCAT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:352 JEFFERSON AVE
Mailing Address - Street 2:2F
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11221-1092
Mailing Address - Country:US
Mailing Address - Phone:240-405-7200
Mailing Address - Fax:
Practice Address - Street 1:352 JEFFERSON AVE
Practice Address - Street 2:2F
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11221-1092
Practice Address - Country:US
Practice Address - Phone:240-405-7200
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-02-19
Last Update Date:2015-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY001724101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health