Individual
DR. LISA ANNE OKONIEWSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D
Contact information
Practice address
4953 MCKEAN AVE, PHILADELPHIA, PA 19144-4160
(215) 842-9399
(215) 842-0283
Mailing address
4951 MCKEAN AVE, PHILADELPHIA, PA 19144-4160
(215) 842-9399
(215) 842-0283
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PS004360-L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0049481000
PERSONAL CHOICE
PA
Enumeration date
02/05/2007
Last updated
07/08/2007
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