Individual
LISA M HARRELL-DELAMATER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH D
Contact information
Practice address
600 E GENESEE ST, SUITE 217, SYRACUSE, NY 13202-3130
(315) 422-0300
(315) 479-8455
Mailing address
905 BELLEVUE AVE, SYRACUSE, NY 13204-3913
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
009874
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02426460
—
NY
Enumeration date
01/31/2007
Last updated
07/08/2007
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