MEDICARE: DR. LISA MARIA NAIL PSYD, MSCP

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
1	103T00000X	Psychologist

General Provider Information

NPI Number	:	1902313349
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. LISA MARIA NAIL PSYD, MSCP

Provider Business Mailing Address
First Line	:	2123 FORT BEVON RD
Second Line	:
City	:	HARLEYSVILLE
State	:	PA
Zip	:	19438-3327
Country	:	US
Telephone Number	:	215-484-0739
Fax Number	:

Provider Business Practice Location Address
First Line	:	2123 FORT BEVON RD
Second Line	:
City	:	HARLEYSVILLE
State	:	PA
Zip	:	19438-3327
Country	:	US
Telephone Number	:	215-484-0739
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/08/2018
Last Update Date	:	08/06/2025

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