| Doctor Name: | DR. HARVEY LISS |
| NPI Number: | 1134135734 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | PSY.D. |
| License Number: | 048-0000220 |
| Business Practice Address: | 67 Main St Suite 38 Brattleboro, VT - 053013908 |
| Business Phone Number: | 8022571062 |
| Business Fax Number: | 8022574399 |
| Mailing Address: | 67 Main St, Suite 38 BRATTLEBORO |
| State: | VT |
| Postal Code: | 053013908 |
| Phone Number: | 8022571062 |
| Fax Number: | 8022574399 |
| NPI Enumeration Date: | 08/01/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC0700X |
| License Number: | 048-0000220 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | VT |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | |