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

Lise D Delong, PHDCPCRT

Individual provider Developmental Disabilities Clinic/Center · NPI 1295030666

Lise D Delong, PHDCPCRT is a Developmental Disabilities Clinic/Center in Greenwood, Indiana. Practices as a sole proprietor. Registered with an NPI since 2011.

In the registry since
2011

Practice location Address checks out

1678 Fry Rd Ste C
Greenwood, IN 46142-1176
Phone: (317) 888-7420
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Developmental Disabilities Clinic/Center (primary) Taxonomy 261QD1600X

Record details

NPI number1295030666
Entity typeIndividual (Type 1)
GenderFemale
Credentials PHDCPCRT
Sole proprietorYes
NPI enumeratedJanuary 17, 2011
Last updated in NPPESJanuary 17, 2011