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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

LISA MIMMO, PSY.D

Active Sole Proprietor

LISA MIMMO, PSY.D is a Mental Health Counselor healthcare provider located in RADNOR, Pennsylvania. NPI 1174798862 is currently active in the NPPES registry. Verify at CMS.

Mental Health Counselor · RADNOR, PA

Registration Details

NPI Number
1174798862
Provider Type
Individual
Gender
Female
NPI Issued
Apr 24, 2008 (18.274752861327 yrs)
Last Updated
Apr 24, 2008
License
PS016292 (PA)
Sole Proprietor
Yes

Practice Information

Address
320 KING OF PRUSSIA RD
RADNOR, PA, 190874440
Browse PA providers · Browse ZIP 19087
Phone
2154828000
Primary Specialty
Mental Health Counselor
101YM0800X

Other Mental Health Counselor Providers in RADNOR, PA

Name Credential NPI
MS. ELIZABETH RIVERA LPC 1497927578
MR. JONATHAN JAMES BUMPAS MFT, MDIV 1306204326
ELISE BILLOCK TROPEA 1679029573
CAROLINE M HOGAN LPC 1164974028
FRANCESCA SUTERA 1700308491
MS. GABRIELLE LEIGH WITKIN M.S.ED., M.PHIL.ED. 1932675030
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.