Individual
LYSSA GAGNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
1250 S CEDAR CREST BLVD STE 410, ALLENTOWN, PA 18103-6224
(610) 402-3500
(610) 402-3505
Mailing address
PO BOX 1830, ALLENTOWN, PA 18105-1830
(484) 862-3193
(484) 664-7659
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PS018013
PA
Other
Enumeration date
02/22/2016
Last updated
11/18/2019
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