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
Mailing address320 King Of Prussia Rd, Radnor, PA 19087-4440

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