Most Relevant Information
Provider Data
| NPI Number: | 1003026824 |
| Provider Name: | ELIZABETH PANGRAZZI PSYD LP CAADC |
| Entity Type: | Individual |
| Taxonomy Code: | 101YA0400X |
| Specialty: | Counselor |
| License Number: | C-00560 |
Most Important Dates
| Enumeration Date: | 05/23/2007 |
| Last Updated: | 04/24/2020 |
Provider Practice Location
1102 CARPENTER AVE
IRON MOUNTAIN
MI
498014722
Practice Location Phone/Fax
| Phone: | 9062029444 |
| Fax: |
Provider Mailing Location
1102 CARPENTER AVE
IRON MOUNTAIN
MI
498014722
Provider Mailing Phone/Fax
| Phone: | 9062029444 |
| Fax: |