Individual
LISA B ELLIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
1251 S CEDAR CREST BLVD, SUITE 303D, ALLENTOWN, PA 18103-6382
(484) 838-5855
(610) 433-5751
Mailing address
1251 S CEDAR CREST BLVD, SUITE 303D, ALLENTOWN, PA 18103-6382
(484) 838-5855
(610) 433-5751
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PS016670
PA
Other
Enumeration date
07/21/2010
Last updated
12/16/2014
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