Provider Demographics
NPI:1457551202
Name:PFIRRMANN, ELISABETH E (MSW)
Entity Type:Individual
Prefix:MRS
First Name:ELISABETH
Middle Name:E
Last Name:PFIRRMANN
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4558 SW CACAO ST
Mailing Address - Street 2:
Mailing Address - City:PORT ST LUCIE
Mailing Address - State:FL
Mailing Address - Zip Code:34953-6544
Mailing Address - Country:US
Mailing Address - Phone:772-879-3580
Mailing Address - Fax:772-336-0372
Practice Address - Street 1:4558 SW CACAO ST
Practice Address - Street 2:
Practice Address - City:PORT ST LUCIE
Practice Address - State:FL
Practice Address - Zip Code:34953-6544
Practice Address - Country:US
Practice Address - Phone:772-879-3580
Practice Address - Fax:772-336-0372
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-20
Last Update Date:2007-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health