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Contact Information

MITCHELL LISS, PSY.D.
1101 KINGS HWY N STE 313
CHERRY HILL, NJ08034-1912
 Phone: 215-869-8195
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical Child & Adolescent

103TC2200X 62 Psychologist, Clinical
 

Clinical

103TC0700X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for MITCHELL LISS · (Male)

NPI Number 1235592320
Status Active
Credentials PSY.D. (Doctor of Psychology)
Entity Individual
Enumeration date 04/05/2016
Last updated 12/10/2024 - More than a year ago
Sole proprietor 1 Yes
Identifiers
  • NJ License # 35SI00511900
  • PA License # PS017309
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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