Healthcare Provider Details

I. General information

NPI: 1821902768
Provider Name (Legal Business Name): LISA HANDLER PHD, LMFT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/29/2026
Last Update Date: 09/29/2026
Certification Date: 09/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

255 S 17TH ST STE 2701
PHILADELPHIA PA
19103-6228
US

IV. Provider business mailing address

255 S 17TH ST STE 2701
PHILADELPHIA PA
19103-6228
US

V. Phone/Fax

Practice location:
  • Phone: 215-200-7953
  • Fax:
Mailing address:
  • Phone: 215-200-7953
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number37FI00221400
License Number StateNJ
# 2
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License NumberMF001508
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: