Burch, Lisa P.

Burch, Lisa P. is an sole proprietor health care provider with primary practice located at 19 Pinney St , Ellington CT 06029-3812. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Burch, Lisa P. can be contacted via phone (860) 871-9295.

Contact Information

Primary practice address
19 Pinney St Ellington CT 06029-3812
Phone: (860) 871-9295
Fax: (860) 871-9271
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 001628 Connecticut
Behavioral Health & Social Service Providers / Clinical 1041C0700X 105256 Massachusetts

Profile Details

NPI number 1821151895
LBN Legal business name Burch, Lisa P.
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 19th, 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 1821151895 NPPES
Connecticut Other 140001628CT03 ANTHEM BC PIN
Connecticut Other 001628 ANTHEM BC PIN
Connecticut Other 105256 ANTHEM BC PIN
Connecticut Other 11241472 ANTHEM BC PIN

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