Lisa Mimmo, PSY.D
NPI #1174798862 in Radnor, Pennsylvania
Provider Information
- NPI Number
- 1174798862
- Entity Type
- Individual
- Name
- Lisa Mimmo, PSY.D
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Counselor - Mental Health
- Credential
- PSY.D
- Enumeration Date
- Apr 24, 2008
- Last Updated
- Apr 24, 2008
Practice Location
- Address
- 320 KING OF PRUSSIA RD
- City
- Radnor
- State
- Pennsylvania
- ZIP Code
- 19087-4440
- Phone
- (215) 482-8000
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Mental Health — Mental Health |
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