Organization
LISA ORANSOFF PHD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LISA ORANSOFF PHD (PSYCHOLOGIST/MEMBER)
(860) 306-4341
Entity
Organization
Contact information
Practice address
18 DOG LN, SUITE C, STORRS MANSFIELD, CT 06268-2225
(860) 306-4341
Mailing address
18 DOG LN, SUITE C, STORRS MANSFIELD, CT 06268-2225
(860) 306-4341
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
1505
CT
Other
Enumeration date
10/19/2007
Last updated
10/19/2007
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