DR. Lisa Michelle Supino, PSY.D.

NPI #1740431667 in Darien, Connecticut

Provider Information

NPI Number: 1740431667
Entity Type: Individual
Name: DR. Lisa Michelle Supino, PSY.D.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Psychologist - Clinical
Credential: PSY.D.
Enumeration Date: Oct 9, 2008
Last Updated: Oct 9, 2008

Practice Location

Address: 6 THORNDAL CIRCLE
City: Darien
State: Connecticut
ZIP Code: 06820
Phone: (858) 254-4302

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychologist - Clinical — Clinical	103TC0700X	Primary

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