Individual
DR. LISA JEWELL MICHAEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
22251 STATE ROUTE 2, ARCHBOLD, OH 43502-9452
(419) 445-1552
(419) 445-1401
Mailing address
314 N PLEASANT ST, MONTPELIER, OH 43543-1150
(419) 551-2720
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
6062
OH
103TC0700X
Clinical Psychologist
Primary
P.6062
OH
Other
Enumeration date
11/22/2005
Last updated
11/04/2024
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