Burkholder, Lisa Marie

Burkholder, Lisa Marie is an individual health care provider with primary practice located at 42 E Laurel Rd Ste 1800-A , Stratford NJ 08084-1354. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Burkholder, Lisa Marie can be contacted via phone (856) 566-6843.

Contact Information

Primary practice address
42 E Laurel Rd Ste 1800-A Stratford NJ 08084-1354
Phone: (856) 566-6843
Fax: (856) 566-2775
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X CW019327 Pennsylvania
Behavioral Health & Social Service Providers / Clinical 1041C0700X 44SC05905800 New Jersey

Profile Details

NPI number 1063990802
LBN Legal business name Burkholder, Lisa Marie
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 3rd, 2018
Last updated Mar 7th, 2024 - about 2 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 1063990802 NPPES
New Jersey MEDICAID 0811025

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