Provider Demographics
NPI:1285700138
Name:KUNZ, ELIZABETH ANNE (LCSW)
Entity type:Individual
Prefix:MRS
First Name:ELIZABETH
Middle Name:ANNE
Last Name:KUNZ
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:MS
Other - First Name:ELIZABETH
Other - Middle Name:KUNZ
Other - Last Name:WALKER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LCSW
Mailing Address - Street 1:2479 EAST ALOMA AVENUE
Mailing Address - Street 2:SUITE D
Mailing Address - City:WINTER PARK
Mailing Address - State:FL
Mailing Address - Zip Code:32792-2541
Mailing Address - Country:US
Mailing Address - Phone:407-894-4030
Mailing Address - Fax:407-894-6010
Practice Address - Street 1:2479 EAST ALOMA AVENUE
Practice Address - Street 2:SUITE D
Practice Address - City:WINTER PARK
Practice Address - State:FL
Practice Address - Zip Code:32792-2541
Practice Address - Country:US
Practice Address - Phone:407-894-4030
Practice Address - Fax:407-894-6010
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-24
Last Update Date:2008-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSW64681041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical