Angstman, Lisa

Angstman, Lisa is an sole proprietor health care provider with primary practice located at 4185 St George Rd , Williston VT 05495-7695. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Angstman, Lisa can be contacted via phone (802) 879-5333.

Contact Information

Primary practice address
4185 St George Rd Williston VT 05495-7695
Phone: (802) 879-5333
Fax: (802) 879-5335
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 0480000514 Vermont

Profile Details

NPI number 1104924265
LBN Legal business name Angstman, Lisa
Credentials PH.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 20th, 2006
Last updated Jul 8th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1104924265 NPPES
Vermont MEDICAID 1003405

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