| Doctor Name: | LISE BECKER VEZINA |
| NPI Number: | 1013001304 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PHD |
| License Number: | PSY1000023 |
| Business Practice Address: | 8607 Cedar St Silver Spring, MD - 209104324 |
| Business Phone Number: | 3015628448 |
| Business Fax Number: | 3015628449 |
| Mailing Address: | 2810 Cortland Pl Nw, WASHINGTON |
| State: | DC |
| Postal Code: | 200083425 |
| Phone Number: | 2025889447 |
| Fax Number: | |
| NPI Enumeration Date: | 10/03/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TB0200X |
| License Number: | PSY1000023 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | DC |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Cognitive & Behavioral |
| Taxonomy Definition: | |