Doctor Name: | LISA A EATON |
NPI Number: | 1891761938 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PSYD |
License Number: | PS008265L |
Business Practice Address: | 1135 Olde W Chocolate Ave Suite 101 Hummelstown, PA - 170369188 |
Business Phone Number: | 8002431455 |
Business Fax Number: | |
Mailing Address: | 1135 Olde W Chocolate Ave, Suite 101 HUMMELSTOWN |
State: | PA |
Postal Code: | 170369188 |
Phone Number: | 8002431455 |
Fax Number: | |
NPI Enumeration Date: | 02/28/2006 |
NPI Last Update Date: | 09/17/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103G00000X |
License Number: | PS008265L |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Clinical Neuropsychologist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual with a doctorate degree, licensure in clinical psychology and specialized training or board certification in neuropsychology who practices or adheres to the principles of neuropsychology; a specialty within the field of psychology focusing primarily on neurobehavioral functioning. |