Individual
LISA A PATTISON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
3280 WOODRIDGE BLVD, SUITE 200, GRAND ISLAND, NE 68801-5194
(308) 382-1764
(308) 395-3730
Mailing address
PO BOX 5194, 3280 WOODRIDGE BLVD SUITE 200, GRAND ISLAND, NE 68802-5194
(308) 382-1764
(308) 395-3730
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
325
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
47078358200
—
NE
Enumeration date
06/08/2006
Last updated
05/22/2014
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