Individual
LISA COLTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
323 S 3RD ST, PHILA, PA 19106-4304
(917) 363-2748
Mailing address
323 S 3RD ST, PHILA, PA 19106-4304
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PS-008550-L
PA
Other
Enumeration date
05/19/2016
Last updated
05/19/2016
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