Dr. Lisa Andrea Oliver
Psychologist, School in Leonardtown, MD. Individual provider (NPI-1).
NPI number1831995463
StatusActive
Last updated in NPPESFeb 24, 2025
Details
- NPI
- 1831995463
- Entity type
- Individual (NPI-1)
- Name
- Dr. Lisa Andrea Oliver
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Feb 24, 2025
- Certification date
- Feb 24, 2025
- Last updated
- Feb 24, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103TS0200X | Psychologist, School | CER123856R729B8 | MD | Yes |
Other names
- Lisa Andrea Longworth (Professional Name)
Practice location
23160 Moakley StLeonardtown, MD 20650-2922
Phone 301-475-5511
Mailing address
23160 Moakley StLeonardtown, MD 20650-2922
Phone 301-475-5511
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