Individual
DR. LISA ANNE MAZZIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY.D, LCP
Contact information
Practice address
1600 COLONIAL AVE, NORFOLK, VA 23517-2020
(757) 354-1422
Mailing address
1600 COLONIAL AVE, NORFOLK, VA 23517-2020
(757) 354-1422
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
0810004778
VA
Other
Enumeration date
06/30/2013
Last updated
06/30/2013
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