Individual
DR. LISA FRANCES MARROCCA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
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
103TC0700X
Clinical Psychologist
Primary
6301006708
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
266353000
MAGELLAN MIS
MI
01
—
680F330150
BCBSM PIN
MI
01
—
P30865F
BCN PIN
MI
Enumeration date
05/11/2006
Last updated
12/21/2020
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