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Individual
DR. LISA MARIE PETRONGELLI
Active
Individual
DR. LISA MARIE PETRONGELLI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D, APRN-BC, FPA
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
—
—
103TA0400X
Addiction (Substance Use Disorder) Psychologist
—
—
103TC2200X
Clinical Child & Adolescent Psychologist
—
—
103TH0100X
Health Service Psychologist
—
—
103TP2701X
Group Psychotherapy Psychologist
—
—
363L00000X
Nurse Practitioner
209004881
IL
363LA2200X
Adult Health Nurse Practitioner
277000902
IL
363LF0000X
Family Nurse Practitioner
277000902
IL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
277000902
IL
363LW0102X
Women's Health Nurse Practitioner
277000902
IL
Other
Enumeration date
05/03/2013
Last updated
03/26/2026
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