Individual
DR. LISA D. PIECHOWSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
1997 ANNAPOLIS EXCHANGE PKWY STE 300, ANNAPOLIS, MD 21401
(240) 863-2310
(240) 233-2039
Mailing address
1997 ANNAPOLIS EXCHANGE PKWY STE 300, ANNAPOLIS, MD 21401-3273
(240) 863-2310
(240) 233-2039
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
001993
CT
103TF0200X
Forensic Psychologist
Primary
001993
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
060001993CT01
BLUE CROSS BLUE SHIELD
CT
01
—
080383
VALUE OPTIONS
CT
01
—
189325
MHS
CT
01
—
HAS682
OXFORD
CT
Enumeration date
08/18/2006
Last updated
05/21/2018
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