Individual
ELIZABETH M LICALZI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2540 WINDY HILL RD SE, MARIETTA, GA 30067-8605
(770) 644-1570
Mailing address
2540 WINDY HILL RD SE, MARIETTA, GA 30067-8605
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
49221
TN
2084P0800X
Psychiatry Physician
Primary
72059
GA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/25/2009
Last updated
04/21/2015
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