Organization
LISA M LYALL PHD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LISA MARIE LYALL PHD (PRESIDENT CEO)
(513) 521-0500
Entity
Organization
Contact information
Practice address
8622 WINTON RD, SUITE C, CINCINNATI, OH 45231-4835
(513) 521-0500
(513) 521-5010
Mailing address
8622 WINTON RD, SUITE C, CINCINNATI, OH 45231-4835
(513) 521-0500
(513) 521-5010
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
5203
OH
Other
Enumeration date
10/13/2006
Last updated
09/22/2009
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