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

LISE D DELONG, PH.D. CPCRT

Active Sole Proprietor

LISE D DELONG, PH.D. CPCRT is a Developmental Disabilities Clinic healthcare provider located in GREENWOOD, Indiana. NPI 1295030666 is currently active in the NPPES registry. Verify at CMS.

Developmental Disabilities Clinic · GREENWOOD, IN

Registration Details

NPI Number
1295030666
Provider Type
Individual
Gender
Female
NPI Issued
Jan 17, 2011 (15.582667487899 yrs)
Last Updated
Jan 17, 2011
Sole Proprietor
Yes

Practice Information

Address
1678 FRY RD STE C
GREENWOOD, IN, 461421176
Browse IN providers · Browse ZIP 46142
Phone
3178887420
Primary Specialty
Developmental Disabilities Clinic
261QD1600X
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.