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Dr. Carissa Marie Lane, PSYD
Clinical Psychologist in Philadelphia, Pennsylvania
NPI 1962128553

Carissa Marie Lane is a Clinical Psychologist based in Philadelphia, PA and is specialized in Clinical. Carissa Marie Lane practices in Philadelphia, PA and has the professional credentials of PSYD. The NPI Number for Carissa Marie Lane is 1962128553 and holds a License No. PS019580 (Pennsylvania).

The current practice location address for Carissa Marie Lane is 3900 Woodland Ave, Philadelphia, PA and can be reached out via phone at 215-823-5800.

Location: 3900 Woodland Ave, Philadelphia, PA, 19146-1267
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1962128553
Provider Name
Carissa Marie Lane
Credential
PSYD
Provider Entity Type
Individual
Gender
Female
Address
3900 Woodland Ave, Philadelphia, PA, 19146-1267
Phone Number
215-823-5800
Fax Number
Provider Enumeration Date
10/14/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
3900 Woodland Ave
City
Philadelphia
State
Pennsylvania
Zip
19104-4551
Phone Number
215-823-5800
Fax Number
person
Provider Business Mailing Address Details
Address
3900 Woodland Ave
City
Philadelphia
State
Pennsylvania
Zip
19104-4551
Phone Number
215-823-5800
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Psychologist
Speciality
Clinical
Taxonomy
103TC0700X
License No.
PS019580 (Pennsylvania)
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
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