Provider Demographics
NPI:1396881025
Name:PARSONNET, LISSA (PHD)
Entity type:Individual
Prefix:
First Name:LISSA
Middle Name:
Last Name:PARSONNET
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:233 OLD SHORT HILLS RD
Mailing Address - Street 2:
Mailing Address - City:SHORT HILLS
Mailing Address - State:NJ
Mailing Address - Zip Code:07078-2133
Mailing Address - Country:US
Mailing Address - Phone:973-921-9629
Mailing Address - Fax:973-921-0523
Practice Address - Street 1:311 CLAREMONT AVE
Practice Address - Street 2:SUITE 3
Practice Address - City:MONTCLAIR
Practice Address - State:NJ
Practice Address - Zip Code:07042-2240
Practice Address - Country:US
Practice Address - Phone:973-921-9629
Practice Address - Fax:973-921-0523
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-29
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ44SC001716001041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical