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

LISA E SCOTT

Active Sole Proprietor

LISA E SCOTT is a Mental Health Clinic healthcare provider located in VALLEY STREAM, New York. NPI 1356012637 is currently active in the NPPES registry. Verify at CMS.

Mental Health Clinic · VALLEY STREAM, NY

Registration Details

NPI Number
1356012637
Provider Type
Individual
Gender
Female
NPI Issued
Sep 25, 2021 (4.9319274493737 yrs)
Last Updated
Sep 25, 2021
License
P111168 (NY)
Sole Proprietor
Yes

Practice Information

Address
108 S FRANKLIN AVE
3
VALLEY STREAM, NY, 11580
Browse NY providers · Browse ZIP 11580
Phone
5163039925
Primary Specialty
Mental Health Clinic
261QM0801X
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.