Lisa Elena Mash, PHD is a
Clinical Neuropsychologist based in Chicago, Illinois. Lisa Elena Mash is licensed to practice in Illinois (license number 071011007) and her current practice location is
2515 N Clark St, Chicago, Illinois. She can be reached at her office (for appointments etc.) via phone at
(800) 543-7362.
NPI number for Lisa Elena Mash is 1467238600 and her current mailing address is 2604 N Springfield Ave Unit 1, Chicago, Illinois. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1467238600.
Healthcare Provider's Profile
Full Name | Lisa Elena Mash |
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Gender | Female |
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Speciality | Clinical Neuropsychologist |
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Location | 2515 N Clark St, Chicago, Illinois |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1467238600
- Provider Enumeration Date: 09/05/2023
- Last Update Date: 09/05/2023
Medical Identifiers
Medical identifiers for Lisa Elena Mash such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1467238600 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
103T00000X | Psychologist | 071011007 (Illinois) | Secondary |
103G00000X | Clinical Neuropsychologist | 071011007 (Illinois) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Lisa Elena Mash is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Lisa Elena Mash, PHD 2604 N Springfield Ave Unit 1, Chicago, IL 60647-1031 Ph: () - | Lisa Elena Mash, PHD 2515 N Clark St, Chicago, IL 60614-2730 Ph: (800) 543-7362 |
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