Blank, Lisa

Blank, Lisa is an sole proprietor health care provider with primary practice located at 1024 8Th St , Greeley CO 80631-1101. She recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as her primary health care specialty. Blank, Lisa can be contacted via phone (970) 330-7696.

Contact Information

Primary practice address
1024 8Th St Greeley CO 80631-1101
Phone: (970) 330-7696
Fax: (970) 330-7696
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X 1496 Colorado

Profile Details

NPI number 1245448117
LBN Legal business name Blank, Lisa
Credentials PH.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 21st, 2007
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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