Lise D Delong, PH.D. CPCRT

NPI #1295030666 in Greenwood, Indiana

Provider Information

NPI Number
1295030666
Entity Type
Individual
Name
Lise D Delong, PH.D. CPCRT
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Clinic/Center - Developmental Disabilities
Credential
PH.D. CPCRT
Enumeration Date
Jan 17, 2011
Last Updated
Jan 17, 2011

Practice Location

Address
1678 FRY RD STE C
State
Indiana
ZIP Code
46142-1176
Phone
(317) 888-7420

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Developmental DisabilitiesDevelopmental Disabilities

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