Individual
DR. LISA ELLIOTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
58 JEFFERSON ST, PAINESVILLE, OH 44077-3114
(440) 392-5447
(440) 039-2544
Mailing address
58 JEFFERSON ST, PAINESVILLE, OH 44077-3114
(440) 392-5447
(440) 039-2544
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
CL1006473
OH
Other
Enumeration date
02/12/2014
Last updated
02/12/2014
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