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LISA MIMMO PSY.D
NPI 1174798862
Counselor - Mental Health in Radnor, PA

Active since April 24, 2008
320 KING OF PRUSSIA RD, RADNOR, PA 19087(215) 482-8000 Get Directions Write a Review

NPPES record last updated: April 24, 2008. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Lisa Mimmo Psy.d NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LISA MIMMO PSY.D (NPI 1174798862) is an individual mental health provider in Radnor, Pennsylvania, licensed in Pennsylvania (PS016292) and active in the NPI registry since April 2008.

NPPES Registry Identity

NPI1174798862
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameLISA MIMMOCredential: PSY.D
Location Address320 KING OF PRUSSIA RDRadnor, PA 19087-4440
Mailing Address320 King Of Prussia RdRadnor, PA 19087-4440 · (215) 482-8000
Phone(215) 482-8000
Sole ProprietorYes
Enumeration DateApril 24, 2008
✔ NPI 1174798862 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in PA · PS016292
320 KING OF PRUSSIA RD, Radnor, PA 19087
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SUZANNE MULLER LSW
Social Worker (Clinical)
320 KING OF PRUSSIA RD
RADNOR, PA 19087
Chester County (484) 654-2977
PERFORMANCE PHYSICAL THERAPY & FITNESS, INC.
Clinic/Center (Physical Therapy)
320 KING OF PRUSSIA RD, SUITE 100
RADNOR, PA 19087
Chester County (610) 341-9100
MS. BETH RACHAEL ROSENBAUM MSW LCSW ACSW
Social Worker (Clinical)
320 KING OF PRUSSIA RD
RADNOR, PA 19087
Chester County (215) 254-1580
DIANA J PAISLEY
Counselor (Mental Health)
320 KING OF PRUSSIA RD
RADNOR, PA 19087
Chester County (610) 527-9360
KATHRYN CORNWALL R.D., L.D.N.
Dietitian, Registered
320 KING OF PRUSSIA RD, 2ND FLOOR
RADNOR, PA 19087
Chester County (610) 527-9360
LAUREN NEWMAN
Counselor (Mental Health)
320 KING OF PRUSSIA RD
RADNOR, PA 19087
Chester County (610) 527-9360
ROBIA SMITH-HERMAN
Social Worker
320 KING OF PRUSSIA RD, SECOND FLOOR
RADNOR, PA 19087
Chester County (610) 527-9360
LUCIANO G. LEGASPI PT
Physical Therapist
320 KING OF PRUSSIA RD, SUITE 100
RADNOR, PA 19087
Chester County (610) 341-9100

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lisa Mimmo's NPI number?

The NPI number for Lisa Mimmo is 1174798862. It was assigned to this individual provider in the NPPES registry on April 24, 2008.

Where is Lisa Mimmo located?

Lisa Mimmo practices at 320 King Of Prussia Rd, Radnor, PA 19087. The listed phone number is (215) 482-8000.

What is Lisa Mimmo's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Lisa Mimmo was last updated on April 24, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.