Provider Demographics
NPI:1023299625
Name:ELIZABETH BIGGART
Entity type:Organization
Organization Name:ELIZABETH BIGGART
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PSYCHOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:ELIZABETH
Authorized Official - Middle Name:
Authorized Official - Last Name:BIGGART
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:650-322-1975
Mailing Address - Street 1:241 S SAN ANTONIO RD
Mailing Address - Street 2:
Mailing Address - City:LOS ALTOS
Mailing Address - State:CA
Mailing Address - Zip Code:94022-3751
Mailing Address - Country:US
Mailing Address - Phone:650-322-1975
Mailing Address - Fax:
Practice Address - Street 1:241 S SAN ANTONIO RD
Practice Address - Street 2:
Practice Address - City:LOS ALTOS
Practice Address - State:CA
Practice Address - Zip Code:94022-3751
Practice Address - Country:US
Practice Address - Phone:650-322-1975
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-11-25
Last Update Date:2019-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPSY12269103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Multi-Specialty