Provider Demographics
NPI:1447148218
Name:ZAZA, ELIZABETH FRANCES
Entity type:Individual
Prefix:
First Name:ELIZABETH
Middle Name:FRANCES
Last Name:ZAZA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:160 S 80TH ST
Mailing Address - Street 2:
Mailing Address - City:MILWAUKEE
Mailing Address - State:WI
Mailing Address - Zip Code:53214-1430
Mailing Address - Country:US
Mailing Address - Phone:414-477-7362
Mailing Address - Fax:
Practice Address - Street 1:160 S 80TH ST
Practice Address - Street 2:
Practice Address - City:MILWAUKEE
Practice Address - State:WI
Practice Address - Zip Code:53214-1430
Practice Address - Country:US
Practice Address - Phone:414-477-7362
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-06-27
Last Update Date:2025-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL2620242103TS0200X
MISP0000001118786103TS0200X
WI682896103TS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TS0200XBehavioral Health & Social Service ProvidersPsychologistSchool