DR. Lisa Renee Jepson, PH.D.

NPI #1346574761 in East Islip, New York

Provider Information

NPI Number: 1346574761
Entity Type: Individual
Name: DR. Lisa Renee Jepson, PH.D.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Psychologist
Credential: PH.D.
Enumeration Date: Oct 1, 2009
Last Updated: Oct 1, 2009

Practice Location

Address: 23 BROOK PL
City: East Islip
State: New York
ZIP Code: 11730-1001
Phone: (631) 581-3081

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychologist	103T00000X	Primary

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