Individual
DR. LISA BLAZEK LUISI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
773 CENTRAL AVE, WESTFIELD, NJ 07090-2528
(908) 228-2740
Mailing address
PO BOX 108, BASKING RIDGE, NJ 07920-0108
(908) 509-4559
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
183-086
NJ
103T00000X
Psychologist
023813
NY
103T00000X
Psychologist
Primary
6307
NJ
Other
Enumeration date
11/12/2018
Last updated
02/23/2021
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