Provider Demographics
NPI:1548251846
Name:MERSKY, LISA JUDITH (LCSW)
Entity type:Individual
Prefix:MS
First Name:LISA
Middle Name:JUDITH
Last Name:MERSKY
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4131 SPICEWOOD SPGS
Mailing Address - Street 2:G5
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78757
Mailing Address - Country:US
Mailing Address - Phone:512-474-6148
Mailing Address - Fax:512-346-1923
Practice Address - Street 1:4131 SPICEWOOD SPGS
Practice Address - Street 2:G5
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78757
Practice Address - Country:US
Practice Address - Phone:512-474-6148
Practice Address - Fax:512-346-1923
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-11-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXTX000927103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist