Lisa Marlette Cottrell in Grafton - Psychologist
Lisa Marlette Cottrell - NPI 1255505848
Lisa Marlette Cottrell is a Psychologist in Grafton, Wisconsin. Lisa Marlette Cottrell practices all healthcare services and medical treatments related to Psychologist. The NPI Number for Lisa Marlette Cottrell is 1255505848. The last update date is 2021-12-13.
Lisa Marlette Cottrell's current location address is 975 Port Washington Rd, Grafton, Wisconsin. You can contact this provider via phone number 2623294305 and fax number 2623295614. The mailing address for Lisa Marlette Cottrell is 975 Port Washington Rd, Grafton, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Lisa Marlette Cottrell |
|---|---|
| Address | 975 Port Washington Rd, Grafton, Wisconsin |
| Phone Number | 2623294305 |
| Fax Number | 2623295614 |
| Sole Proprietor | N |
| Credentials | PH.D. |
NPI Number Detail
| NPI Number | 1255505848 |
|---|---|
| Provider Enumeration Date | 2008-04-15 |
| Last Updated Date | 2021-12-13 |
Provider Mailing Address Detail
| Address | 975 Port Washington Rd |
|---|---|
| City | Grafton |
| State | Wisconsin (WI) |
| Post Code | 530249201 |
| Phone Number | 2623294305 |
| Fax Number | 2623295614 |
Provider's Primary Taxonomy Detail
| Speciality | Psychologist |
|---|---|
| Taxonomy | 103T00000X |
| Licence No | 2815-057 |
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Definition: A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and proce |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 43734900 | WI | -- |
Post Comment/ Review Below
What is the Lisa Marlette Cottrell's 1255505848?
The Lisa Marlette Cottrell's NPI (National Provider Identifier) Number is 1255505848. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Where is the Lisa Marlette Cottrell located?
The Lisa Marlette Cottrell is located at 975 Port Washington Rd, Grafton, WI 530249201.
What is the Lisa Marlette Cottrell's specialty and taxonomy code?
The Lisa Marlette Cottrell's specialty is Psychologist, and the corresponding taxonomy code is 103T00000X.
On what date did the Lisa Marlette Cottrell receive the assignment of its 1255505848 from the Centers for Medicare & Medicaid Services?
The Lisa Marlette Cottrell was issued its 1255505848 by the Centers for Medicare & Medicaid Services on 2008-04-15.
As of what date were the Lisa Marlette Cottrell's details last updated?
The information pertaining to the Lisa Marlette Cottrell, including its address, specialty, and other details, was most recently updated on 2021-12-13.
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