Individual
DR. LISA MORAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
4477 IRVING BLVD NW STE B, ALBUQUERQUE, NM 87114-5529
(505) 221-6214
(505) 298-4737
Mailing address
4477 IRVING BLVD NW STE B, ALBUQUERQUE, NM 87114-5529
(505) 221-6214
(505) 298-4737
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
26724
CA
103G00000X
Clinical Neuropsychologist
Primary
PSY-2024-0071
NM
Other
Enumeration date
04/10/2015
Last updated
01/09/2026
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