Individual
DR. LISA OTTOMANELLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
4500 S LANCASTER RD, DALLAS, TX 75216-7167
(214) 857-1768
Mailing address
2003 FAWNHOLLOW CT, ARLINGTON, TX 76001-5662
(214) 857-1768
(214) 857-1759
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
25584
TX
Other
Enumeration date
08/30/2006
Last updated
07/08/2007
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