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NPI Code Detail

MEDICARE: LISA MARIE MAY PHD

MEDICARE: LISA MARIE MAY PHD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1103TC0700XClinical PsychologistPS016530PA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1841296134
Entity Type Code : Individual
Provider Name (Legal Business Name) : LISA MARIE MAY PHD
Provider Business Mailing Address
First Line : 1330 W 26TH ST
Second Line :
City : ERIE
State : PA
Zip : 16508-1402
Country : US
Telephone Number : 814-451-2373
Fax Number : 814-454-7780
Provider Business Practice Location Address
First Line : 1330 W 26TH ST
Second Line :
City : ERIE
State : PA
Zip : 16508-1402
Country : US
Telephone Number : 814-451-2373
Fax Number : 814-454-7780
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/22/2005
Last Update Date : 03/15/2021

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