Individual
DR. LISA M PUPA-O'SULLIVAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
2164 HWY 35, BLDG B - STE 6, SEA GIRT, NJ 08750
(732) 359-7675
(732) 359-7674
Mailing address
2164 HWY 35, BLDG B - STE 6, SEA GIRT, NJ 08750
(732) 359-7675
(732) 359-7674
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
35SI00351200
NJ
Other
Enumeration date
05/30/2006
Last updated
08/10/2010
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