Individual
MISS LISA MONDELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY D
Contact information
Practice address
700 HIGH ST, WILLIAMSPORT, PA 17701-3100
(570) 321-2619
Mailing address
1201 GRAMPIAN BLVD, WILLIAMSPORT, PA 17701-1900
(888) 647-9600
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
Other
Enumeration date
07/22/2014
Last updated
06/26/2024
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