Provider Demographics
NPI:1700777232
Name:PIZZO, RAYMOND J (PMHNP-BC)
Entity type:Individual
Prefix:MR
First Name:RAYMOND
Middle Name:J
Last Name:PIZZO
Suffix:
Gender:M
Credentials:PMHNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 36
Mailing Address - Street 2:
Mailing Address - City:COVINGTON
Mailing Address - State:LA
Mailing Address - Zip Code:70434-0036
Mailing Address - Country:US
Mailing Address - Phone:504-462-0426
Mailing Address - Fax:
Practice Address - Street 1:PO BOX 36
Practice Address - Street 2:
Practice Address - City:COVINGTON
Practice Address - State:LA
Practice Address - Zip Code:70434-0036
Practice Address - Country:US
Practice Address - Phone:504-462-0426
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-07-12
Last Update Date:2025-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA2025029126363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health