Lisa C. McElroy, PHD, Psychology, PC
Organization Active NPI Psychologist · Dryden, NY
NPI 1376594036 · NPPES record last updated Aug 22, 2020
Key facts
- NPI
- 1376594036
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Psychologist 103T00000X
- Legal business name
- LISA C. MCELROY, PHD, PSYCHOLOGY, PC
- Practice address
- 5 Evergreen Street
Dryden, NY 13053 - Phone
- (607) 273-1300
- NPI assigned
- May 15, 2006
- Organization subpart
- No
Authorized official
- Name
- Dr. Lisa C McElroy, PHD
- Title
- Owner
- Phone
- (607) 273-1300
Practitioners 3
-
Robert Laurentz, PSY.D.
-
Rebecca L Levin, PHD
-
Lisa C McElroy, PHD
National Provider Directory
Locations
313 N Aurora St
Ithaca, NY 14850
Phone (607) 229-3123
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist |
103T00000X | Yes |
Addresses
Primary practice location
5 Evergreen Street
Dryden, NY 13053
Mailing address
202 Taughannock Blvd
PO Box 366
Ithaca, NY 14851
Phone (607) 277-3257
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02104236 | Medicaid | NY |
Other providers in Dryden, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 22, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.