Individual provider · Type 1 NPI

Odilia Lizardo, MA

Mental Health Counselor · Philadelphia, PA

NPI number 1629451406 Active

Practice location

3803-3805 North 5th Street
Philadelphia, PA 18140-3337

Call (484) 221-9136 Map

Fax (484) 221-9130

Mailing address

2030 W Tilghman St
Allentown, PA 18104-4354

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

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About NPI 1629451406

Odilia Lizardo, MA's National Provider Identifier is 1629451406, issued on Jun 30, 2015. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Philadelphia, PA. The record was last updated on Jun 30, 2015.