Individual
DR. LISA A PHILLIPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
2201 E STATE ST, HERMITAGE, PA 16148-2727
(724) 981-7141
Mailing address
667 N MAIN ST, MEADVILLE, PA 16335-1907
(814) 337-2037
(814) 337-2060
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PS016395
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100000380
—
PA
Enumeration date
09/21/2006
Last updated
08/04/2020
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