Delong, Lise D

Delong, Lise D is an sole proprietor health care provider with primary practice located at 1678 Fry Rd Ste C , Greenwood IN 46142-1176. She recently has only one registered license in Ambulatory Health Care Facilities / Developmental Disabilities, which is considered as her primary health care specialty. Delong, Lise D can be contacted via phone (317) 888-7420.

Contact Information

Primary practice address
1678 Fry Rd Ste C Greenwood IN 46142-1176
Phone: (317) 888-7420
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Developmental Disabilities 261QD1600X

Profile Details

NPI number 1295030666
LBN Legal business name Delong, Lise D
Credentials PH.D. CPCRT
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 17th, 2011
Last updated Jan 17th, 2011 - about 15 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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