Tricia Atoigue Lizama, MSW
Individual provider Active NPI Marriage & Family Therapist · Hagatna, GU
NPI 1720118524 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1720118524
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Marriage & Family Therapist 106H00000X
- License
- 0000075 (GU)
- Practice address
- 222 Chalan Santo Papa Refelction Center
Suite 102
Hagatna, GU 96910-5172 - Phone
- (671) 477-5715
- Fax
- (671) 472-6221
- NPI assigned
- Mar 7, 2007
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0000075 | GU | MD | Marriage & Family Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 0000075 | GU | Yes |
Addresses
Primary practice location
222 Chalan Santo Papa Refelction Center
Suite 102
Hagatna, GU 96910-5172
Mailing address
Reflection Center 222 Chalan Santo Papa
Suite 102
Hagatna, GU 96910-5172
Phone (671) 477-5715
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| IMFT 0000075 | Other | GU | PROFESSIONAL LICENSING |
Other providers in Hagatna, GU
- Gabrielle Kimura Lagutang
- Dianna M Le
- Kunsun Lee
- Doris LG Leon Guerrero
- LG&H Internal Medicine Clinic
- Suzanne Dela Rosa Lobaton
- Courtney Lomboy
- Davina M Lujan
- Shaine Francis Tydingco Munoz
- Lisalinda Salas Natividad
All providers in Hagatna, GU · Marriage & Family Therapist in Guam
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.