| Lisa Starr Ma Pllc | |
|
1141 Clay Ave Dunmore PA 18510-1191 | |
| (570) 343-3030 | |
| (570) 558-0777 |
| Full Name | Lisa Starr Ma Pllc |
|---|---|
| Speciality | Psychologist |
| Location | 1141 Clay Ave, Dunmore, Pennsylvania |
| Authorized Official Name and Position | Lisa L Starr (LICENSED PSYCHOLOGIST) |
| Authorized Official Contact | 5705874835 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lisa Starr Ma Pllc 1606 Newton Ransom Blvd Clarks Summit PA 18411-9606 Ph: (570) 587-4835 | Lisa Starr Ma Pllc 1141 Clay Ave Dunmore PA 18510-1191 Ph: (570) 343-3030 |
| NPI Number | 1932243698 |
|---|---|
| Provider Enumeration Date | 02/16/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932243698 | NPI | - | NPPES |
| 227931 | Other | PA | MHN |
| ST503249 | Other | PA | ACCESSCARE-BLUE SHIELD |
| 081126 | Other | PA | FIRST PRIORITY HEALTH |
| 820572 | Other | PA | BLUE CROSS OF NORTHEAST P |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | PS-007179-L (Pennsylvania) | Primary |
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