Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Lisa Mimmo, PSYD

Individual provider Mental Health Counselor · NPI 1174798862

Lisa Mimmo, PSYD is a Mental Health Counselor in Radnor, Pennsylvania. Practices as a sole proprietor. Licensed in Pennsylvania.

Licensed in
PA
In the registry since
2008
What do these letters mean?
PSYD — Doctor of Psychology
A doctoral psychologist trained primarily for clinical practice.

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Practice location Address checks out

320 King Of Prussia Rd
Radnor, PA 19087-4440
Phone: (215) 482-8000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence PS016292 (PA)

Record details

NPI number1174798862
Entity typeIndividual (Type 1)
GenderFemale
Credentials PSYD
Sole proprietorYes
NPI enumeratedApril 24, 2008
Last updated in NPPESApril 24, 2008

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