Individual
LISA J ULMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
400 GRESHAM DR, SUITE 900, NORFOLK, VA 23507-1901
(757) 668-7473
(757) 668-7474
Mailing address
PO BOX 79137, BALTIMORE, MD 21279-0137
(757) 668-7200
(757) 668-9663
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
0810005432
VA
Other
Enumeration date
06/01/2016
Last updated
06/01/2016
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