Organization
LISA F MARROCCA PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LISA FRANCES MARROCCA PH.D. (OWNER/PSYCHOLOGIST)
(248) 519-1200
Entity
Organization
Contact information
Practice address
200 E BIG BEAVER RD, TROY, MI 48083-1208
(248) 519-1200
(248) 519-1201
Mailing address
200 E BIG BEAVER RD, TROY, MI 48083-1208
(248) 519-1200
(248) 519-1201
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
6301006708
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
211541
VALUE OPTIONS
MI
01
—
266353000
MAGELLAN
MI
01
—
68-0F3-3015-0
BCBSM
MI
Enumeration date
09/29/2010
Last updated
12/21/2020
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