Provider Demographics
NPI:1700590585
Name:NANCY E. RIZZO, PSY.D., P.A.
Entity Type:Organization
Organization Name:NANCY E. RIZZO, PSY.D., P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:NANCY
Authorized Official - Middle Name:ELIZABETH
Authorized Official - Last Name:RIZZO
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD
Authorized Official - Phone:407-822-4880
Mailing Address - Street 1:644 MAYA SUSAN LOOP
Mailing Address - Street 2:
Mailing Address - City:APOPKA
Mailing Address - State:FL
Mailing Address - Zip Code:32712-1804
Mailing Address - Country:US
Mailing Address - Phone:407-595-8828
Mailing Address - Fax:
Practice Address - Street 1:1850 LEE RD STE 321
Practice Address - Street 2:
Practice Address - City:WINTER PARK
Practice Address - State:FL
Practice Address - Zip Code:32789-2107
Practice Address - Country:US
Practice Address - Phone:407-822-4880
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-01-06
Last Update Date:2023-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty