Mitchell C. Liss, Psy.D., Llc

LBN: Mitchell C. Liss, Psy.D., Llc
Mitchell C. Liss, Psy.D., Llc is an health care organization with primary practice located at 1101 Kings Hwy N Ste 313 , Cherry Hill NJ 08034. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Clinical Child & Adolescent, which is considered as the primary health care specialty. Mitchell C. Liss, Psy.D., Llc can be contacted via phone (215) 869-8195, or through Liss, Mitchell Craig via phone (215) 869-8195.

Contact Information

Primary practice address
1101 Kings Hwy N Ste 313 Cherry Hill NJ 08034
Phone: (215) 869-8195
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Liss, Mitchell Craig PSY.D.
Phone: (215) 869-8195

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical Child & Adolescent 103TC2200X

Profile Details

NPI number 1124512785
LBN Legal business name Mitchell C. Liss, Psy.D., Llc
DBA Doing business as
Authorized official Liss, Mitchell Craig PSY.D.
Entity Organization
Organization subpart 1 No
Enumeration date Jun 18th, 2018
Last updated Jun 18th, 2018 - about 7 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1124512785 NPPES
New Jersey Other 1235592320 NPI

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