Lisa Mimmo, PSY.D

NPI 1174798862 · on the registry since 2008 · sole proprietor

Practice

Address: 320 King Of Prussia Rd
Radnor, PA 19087
Phone: (215) 482-8000
Organisation at this address: Richard F Pacropis Md Pc
Performance Physical Therapy & Fitness, Inc.
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 42

Registry record

Primary taxonomy: 101YM0800X
101YM0800X
Licence states on file: PA
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2008-04-24

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Pennsylvania