Lisa Ellis Psy.d | |
4949 Liberty Ln Suite 5 Allentown PA 18106-9014 | |
(484) 838-5855 | |
(610) 820-6308 |
Full Name | Lisa Ellis Psy.d |
---|---|
Speciality | Psychologist - Clinical |
Location | 4949 Liberty Ln, Allentown, Pennsylvania |
Authorized Official Name and Position | Lisa Ellis (PSYCHOLOGIST/MANAGER) |
Authorized Official Contact | 4848385855 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Lisa Ellis Psy.d 4949 Liberty Ln Suite 5 Allentown PA 18106-9014 Ph: (484) 838-5855 | Lisa Ellis Psy.d 4949 Liberty Ln Suite 5 Allentown PA 18106-9014 Ph: (484) 838-5855 |
NPI Number | 1861938730 |
---|---|
Provider Enumeration Date | 01/16/2017 |
Last Update Date | 01/16/2017 |
Identifier | Type | State | Issuer |
---|---|---|---|
1861938730 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103TC0700X | Psychologist - Clinical | PS016670 (Pennsylvania) | Primary |
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