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Contact Information

GAIL L LISSON, PSY.D.
112 N CIRCLE DR
SUITE B
ROCKY MOUNT, NC27804-2430
 Phone: 252-206-6930
 Fax: 252-443-9101
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

103TC0700X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for GAIL L LISSON · (Female)

NPI Number 1427230820
Status Active
Credentials PSY.D. (Doctor of Psychology)
Entity Individual
Enumeration date 11/28/2007
Last updated 06/26/2008 - About 18 years ago
Sole proprietor 1 Yes
Identifiers
  • FL License # PY6958
  • NC License # 3456
  • NC Medicaid 6001035
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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