| Organization Name: | LISA ORANSOFF PHD LLC |
| NPI Number: | 1871782375 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | LISA ORANSOFF (PSYCHOLOGIST/MEMBER) |
| Mailing Address: | 18 Dog Ln Suite C Storrs Mansfield |
| State: | CT US |
| Postal Code: | 062682225 |
| Phone Number: | 8603064341 |
| Fax Number: | |
| NPI Enumeration Date: | 10/19/2007 |
| NPI Last Update Date: | 10/19/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC0700X |
| License Number: | 1505 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CT |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | |