Organization
LISA ELLIS PSY.D
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LISA ELLIS PSYD (PSYCHOLOGIST/MANAGER)
(484) 838-5855
Entity
Organization
Contact information
Practice address
4949 LIBERTY LN, SUITE 5, ALLENTOWN, PA 18106-9014
(484) 838-5855
(610) 820-6308
Mailing address
4949 LIBERTY LN, SUITE 5, ALLENTOWN, PA 18106-9014
(484) 838-5855
(610) 820-6308
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PS016670
PA
Other
Enumeration date
01/16/2017
Last updated
01/16/2017
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