Provider Demographics
NPI:1649069006
Name:RIZZO, ELIZABETH SPENCER
Entity type:Individual
Prefix:
First Name:ELIZABETH
Middle Name:SPENCER
Last Name:RIZZO
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1012 RICHMOND RD
Mailing Address - Street 2:
Mailing Address - City:BROOMALL
Mailing Address - State:PA
Mailing Address - Zip Code:19008-3425
Mailing Address - Country:US
Mailing Address - Phone:610-908-4160
Mailing Address - Fax:
Practice Address - Street 1:145 N EAGLE RD
Practice Address - Street 2:
Practice Address - City:HAVERTOWN
Practice Address - State:PA
Practice Address - Zip Code:19083-3418
Practice Address - Country:US
Practice Address - Phone:610-446-1861
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-05-02
Last Update Date:2025-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health