National Provider Identifier

Lisa Kerri Willis, PHD

Lisa Kerri Willis, PHD is listed in the NPPES registry with a primary specialty of Psychologist in Rochester, NY and a listed phone number of (585) 275-3113.

NPI 1619912649Rochester, NYPsychologist

Profile Overview

NPI
1619912649
Provider Type
Individual
Primary Specialty
Psychologist
Enumeration Date
June 16, 2006
Last Updated
July 08, 2007

Practice Location

  • 1325 Mount Hope Ave
  • University Of Rochester Ucc
  • Rochester, NY 14620-3991

Phone: (585) 275-3113

Mailing Address

  • PO Box 270356
  • University Of Rochester Ucc
  • Rochester, NY 14627-0356

Specialties

  • Psychologist (103T00000X)
Full Record
NPI
1619912649
Entity Type
Individual
Last Name
Willis
First Name
Lisa
Middle Name
Kerri
Name Prefix
Dr.
Credential
PHD
Mailing Street Address
PO Box 270356
Mailing Address Line 2
University Of Rochester Ucc
Mailing City
Rochester
Mailing State
NY
Mailing ZIP Code
14627-0356
Mailing Country
US
Mailing Phone
(585) 275-3113
Mailing Fax
(585) 442-0815
Practice Street Address
1325 Mount Hope Ave
Practice Address Line 2
University Of Rochester Ucc
Practice City
Rochester
Practice State
NY
Practice ZIP Code
14620-3991
Practice Country
US
Practice Phone
(585) 275-3113
Practice Fax
(585) 442-0815
Enumeration Date
June 16, 2006
Last Updated
July 08, 2007
Sex
Female
Sole Proprietor
X
Taxonomies
Psychologist (103T00000X)