| Lisa Oransoff Phd Llc | |
|
18 Dog Ln Suite C Storrs Mansfield CT 06268-2225 | |
| (860) 306-4341 | |
| Not Available |
| Full Name | Lisa Oransoff Phd Llc |
|---|---|
| Speciality | Psychologist |
| Location | 18 Dog Ln, Storrs Mansfield, Connecticut |
| Authorized Official Name and Position | Lisa Oransoff (PSYCHOLOGIST/MEMBER) |
| Authorized Official Contact | 8603064341 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lisa Oransoff Phd Llc 18 Dog Ln Suite C Storrs Mansfield CT 06268-2225 Ph: (860) 306-4341 | Lisa Oransoff Phd Llc 18 Dog Ln Suite C Storrs Mansfield CT 06268-2225 Ph: (860) 306-4341 |
| NPI Number | 1871782375 |
|---|---|
| Provider Enumeration Date | 10/19/2007 |
| Last Update Date | 10/19/2007 |
| Medicare PECOS PAC ID | 2163510199 |
|---|---|
| Medicare Enrollment ID | O20071108000538 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871782375 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 1505 (Connecticut) | Primary |
| Provider Name | Lisa Oransoff |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1629048988 PECOS PAC ID: 7810085842 Enrollment ID: I20071108000511 |
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