Provider Demographics
NPI:1588122139
Name:PIZER, ARI STEVEN (PSYD)
Entity type:Individual
Prefix:DR
First Name:ARI
Middle Name:STEVEN
Last Name:PIZER
Suffix:
Gender:M
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2032 KATER ST
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19146-1313
Mailing Address - Country:US
Mailing Address - Phone:215-341-3494
Mailing Address - Fax:
Practice Address - Street 1:255 S 17TH ST STE 1909
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19103-6219
Practice Address - Country:US
Practice Address - Phone:215-341-3494
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-03-02
Last Update Date:2019-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPS018660103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist