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Contact Information

LISA M PUPA PHD LLC
2164 HIGHWAY 35 BLDG B
SEA GIRT, NJ08750-1013
 Phone: 732-359-7675
 Fax: 732-359-7674
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

103TC0700X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for LISA M PUPA PHD LLC · (Female)

NPI Number 1992012405
Status Active
Credentials
Entity Individual
Enumeration date 09/03/2010
Last updated 09/03/2010 - About 16 years ago
Sole proprietor 1 Not specified
Identifiers
  • NJ License # 35SI00351200
  • Other P00667132 PTAN
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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