IndividualActive
Lise Delong, PH.D. CPCRT
NPI 1295030666 · Developmental Disabilities Clinic/Center · Greenwood, IN
Provider details
- NPI number
- 1295030666
- Entity type
- Individual
- Primary specialty
- Developmental Disabilities Clinic/CenterAmbulatory Health Care Facilities
- Credential
- PH.D. CPCRT
- Sex
- Female
- Sole proprietor
- Yes
Mailing address
1678 Fry Rd Ste C
Greenwood, IN 46142-1176
Registry dates
- Enumerated
- 2011-01-17
- Last updated
- 2011-01-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.