Individual
DR. LISA C MCELROY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
1730 SHAWNEE AVE, INDIAN RIVER, MI 49749-8705
(214) 998-4888
Mailing address
1730 SHAWNEE AVE, INDIAN RIVER, MI 49749-8705
(214) 998-4888
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
012579
NY
103T00000X
Psychologist
Primary
34068
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01676333
—
NY
Enumeration date
01/26/2006
Last updated
03/05/2025
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