CARISSA MARIE LANE

PHILADELPHIA, PA
NPI1962128553
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy103TC0700X Psychologist, Clinical
(Licence: PA  PS019580)
Enumeration Date2022-10-14
Last Update Date2022-10-14
Business Address
Dr. CARISSA MARIE LANE PsyD
3900 WOODLAND AVE
PHILADELPHIA, PA 19104-4551
Phone number: 215-823-5800
Mailing Address
Dr. CARISSA MARIE LANE PsyD
2112 SOUTH ST APT 4
PHILADELPHIA, PA 19146-1267
Phone number: 515-943-6073
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