Doctor Name: | DR. LISA DOANE |
NPI Number: | 1184020737 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PH.D. |
License Number: | 6430 |
Business Practice Address: | 20220 Center Ridge Rd Suite 355 Rocky River, OH - 441163501 |
Business Phone Number: | 4402497990 |
Business Fax Number: | |
Mailing Address: | 20220 Center Ridge Rd, Suite 355 ROCKY RIVER |
State: | OH |
Postal Code: | 441163501 |
Phone Number: | 4402497990 |
Fax Number: | |
NPI Enumeration Date: | 11/10/2014 |
NPI Last Update Date: | 11/10/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TB0200X |
License Number: | 6430 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | OH |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Cognitive & Behavioral |
Taxonomy Definition: |