Individual
DR. LYSSA MARIE ISRAEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
549 COX RD, GASTONIA, NC 28054-0628
(704) 852-3778
(704) 853-8751
Mailing address
549 COX RD, GASTONIA, NC 28054-0628
(704) 852-3778
(704) 853-8751
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
4244
NC
Other
Enumeration date
11/14/2006
Last updated
08/28/2012
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