Active NPIIndividual providerSole proprietor

Dr. Mitchell Liss, PSYD

Psychologist, Clinical Child & Adolescent in Cherry Hill, New Jersey

NPI Number1235592320
Practice location
1101 Kings Hwy N Ste 313, Cherry Hill, NJ 08034-1912
Fax
—
Last updated
December 10, 2024

Mitchell Liss is a Psychologist, Clinical Child & Adolescent based in Cherry Hill, NJ. Mitchell Liss practices in Cherry Hill, NJ and has the professional credentials of PSYD. The NPI Number for Mitchell Liss is 1235592320 and holds a License No. 35SI00511900 (NJ). The current practice location address for Mitchell Liss is 1101 Kings Hwy N Ste 313, Cherry Hill, NJ 08034-1912 and can be reached out via phone at 215-869-8195.

Provider Profile Details

NPI Number
1235592320
Provider Name
Mitchell Liss
Credential
PSYD
Provider Entity Type
Individual
Gender
Male
Address
1101 Kings Hwy N Ste 313, Cherry Hill, NJ 08034-1912
Phone Number
215-869-8195
Primary Taxonomy
Psychologist, Clinical Child & Adolescent · 103TC2200X
Sole Proprietor
Yes
Provider Enumeration Date
April 5, 2016
Last Update Date
December 10, 2024
Certification Date
December 10, 2024
NPI Status
Active

Provider Business Practice Location Address Details

Address
1101 Kings Hwy N Ste 313
Cherry Hill, NJ 08034-1912
Zip
08034-1912
Phone Number
215-869-8195
Cherry Hill, NJ 08034Get directions →

Provider Business Mailing Address Details

Address
1101 Kings Hwy N Ste 313
Cherry Hill, NJ 08034-1912
City
Cherry Hill
State
NJ
Zip
08034-1912
Phone Number
215-869-8195

License Information

License Number (1)
35SI00511900
License State (1)
NJ
Taxonomy (1)
Psychologist, Clinical · 103TC0700X
License Number (2)
PS017309
License State (2)
PA
License Number (3)
PS017309
License State (3)
PA
Taxonomy (3)
Psychologist, Clinical · 103TC0700X
License Number (4)
35SI00511900
License State (4)
NJ
Taxonomy (4)
Psychologist, Clinical Child & Adolescent · 103TC2200X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Mitchell Liss, PSYD?

The NPI number of Dr. Mitchell Liss, PSYD is 1235592320. It was assigned on April 5, 2016 and is currently active in the NPPES registry.

What is the specialty of Dr. Mitchell Liss, PSYD?

Dr. Mitchell Liss, PSYD is registered under the primary taxonomy Psychologist, Clinical Child & Adolescent (code 103TC2200X), licensed in NJ under license number 35SI00511900.

Where does Dr. Mitchell Liss, PSYD practice?

The practice location is 1101 Kings Hwy N Ste 313, Cherry Hill, NJ 08034-1912. The office can be reached at 215-869-8195 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1235592320 directly on the NPPES registry website.

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