Organization
LISA STARR MA PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LISA L STARR M.A. (LICENSED PSYCHOLOGIST)
(570) 587-4835
Entity
Organization
Contact information
Practice address
1141 CLAY AVE, DUNMORE, PA 18510-1191
(570) 343-3030
(570) 558-0777
Mailing address
1606 NEWTON RANSOM BLVD, CLARKS SUMMIT, PA 18411-9606
(570) 587-4835
(570) 587-2546
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PS-007179-L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
081126
FIRST PRIORITY HEALTH
PA
01
—
227931
MHN
PA
01
—
820572
BLUE CROSS OF NORTHEAST P
PA
01
—
ST503249
ACCESSCARE-BLUE SHIELD
PA
Enumeration date
02/16/2007
Last updated
08/22/2020
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