Individual
LISA M. MARCUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
303 WHITNEY AVE, NEW HAVEN, CT 06511-7204
(203) 397-5453
Mailing address
303 WHITNEY AVE, NEW HAVEN, CT 06511-7204
(203) 397-5453
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
001666
CT
Other
Enumeration date
05/16/2007
Last updated
07/08/2007
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