Individual
DR. LISA MANNING BROTHWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
552 LINDEN AVE, EAST AURORA, NY 14052-2915
(716) 667-2105
(716) 655-6077
Mailing address
552 LINDEN AVE, EAST AURORA, NY 14052-2915
(716) 667-2105
(716) 655-6077
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
011047-1
NY
103TC1900X
Counseling Psychologist
Primary
011047-1
NY
Other
Enumeration date
10/29/2006
Last updated
09/11/2025
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