Individual
DR. MITCHELL LISS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSY.D.
Contact information
Practice address
1101 KINGS HWY N STE 313, CHERRY HILL, NJ 08034-1912
(215) 869-8195
Mailing address
1101 KINGS HWY N STE 313, CHERRY HILL, NJ 08034-1912
(215) 869-8195
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
35SI00511900
NJ
103TC0700X
Clinical Psychologist
PS017309
PA
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
35SI00511900
NJ
103TC2200X
Clinical Child & Adolescent Psychologist
PS017309
PA
Other
Enumeration date
04/05/2016
Last updated
12/10/2024
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