Individual
STEFFANI LORRAINE KIZZIAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
698 12TH ST SE STE 145, SALEM, OR 97301-4076
(415) 847-0746
(415) 847-0746
Mailing address
230 JUDSON ST S, SALEM, OR 97302-5309
(415) 847-0746
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
3745
OR
Other
Enumeration date
06/12/2017
Last updated
02/17/2025
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