Lisa Root, PSYD

NPI #1376986802 in Fairbanks, Alaska

Provider Information

NPI Number
1376986802
Entity Type
Individual
Name
Lisa Root, PSYD
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Counselor - Mental Health
Credential
PSYD
Enumeration Date
Apr 15, 2013
Last Updated
Apr 15, 2013

Practice Location

Address
442 HAGELBARGER AVE
State
Alaska
ZIP Code
99712-1917
Phone
(907) 350-4353

Specialties & Taxonomy Codes

Specialty
Counselor - Mental HealthMental Health

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