Lisa Ebaugh, M.A.

NPI #1699002204 in Millersville, Maryland

Provider Information

NPI Number: 1699002204
Entity Type: Individual
Name: Lisa Ebaugh, M.A.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Psychologist
Credential: M.A.
Enumeration Date: Nov 3, 2009
Last Updated: Nov 3, 2009

Practice Location

Address: 1110 BENFIELD BLVD
Address 2: SUITE J
City: Millersville
State: Maryland
ZIP Code: 21108-2639
Phone: (410) 987-2031

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychologist	103T00000X	Primary

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