Black, Lisa

Black, Lisa is an individual health care provider with primary practice located at 740 Front St Ste 130 , Santa Cruz CA 95060-4536. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Black, Lisa can be contacted via phone (318) 295-8118.

Contact Information

Primary practice address
740 Front St Ste 130 Santa Cruz CA 95060-4536
Phone: (318) 295-8118
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X PSY29110 California

Profile Details

NPI number 1609302678
LBN Legal business name Black, Lisa
Credentials PSYD
Entity Individual
Sole proprietor 1 No
Enumeration date May 11th, 2017
Last updated Aug 22nd, 2023 - about 3 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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