Individual
LISA MARIE D'ADDIO
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
M.S.
Contact information
Practice address
435 W 4TH ST, WILLIAMSPORT, PA 17701-6001
(570) 322-7873
(570) 322-8026
Mailing address
1112 ELMIRA ST, WILLIAMSPORT, PA 17701-2110
(570) 322-7873
(570) 322-8026
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PS-006367-L
PA
Other
Enumeration date
06/08/2006
Last updated
07/08/2007
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