Individual
DR. GAIL LESLEY LISSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
112 N CIRCLE DR, SUITE B, ROCKY MOUNT, NC 27804-2430
(252) 206-6930
(252) 443-9101
Mailing address
112 N CIRCLE DR, SUITE B, ROCKY MOUNT, NC 27804-2430
(252) 206-6930
(252) 443-9101
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
3456
NC
103TC0700X
Clinical Psychologist
PY6958
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6001035
—
NC
Enumeration date
11/28/2007
Last updated
06/26/2008
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