Individual
DR. LISA ORANSOFF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
161 MASHAMNQUET RD, POMFRET CENTER, CT 06259
(860) 928-5904
(860) 928-0634
Mailing address
PO BOX 191, POMFRET CENTER, CT 06259-0191
(860) 928-5904
(860) 928-0634
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
001505
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
060001505CT01
BLUE CROSS
CT
01
—
255027
MANAGED HEALTH NETWORK
CT
Enumeration date
01/26/2006
Last updated
07/08/2007
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