Fedder, Lisa

Fedder, Lisa is an sole proprietor health care provider with primary practice located at 560 Sylvan Ave U.S. Executive Center 3Rd Floor Suite 11, Englewood Cliffs NJ 07632-3119. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Fedder, Lisa can be contacted via phone (201) 875-5699.

Contact Information

Primary practice address
560 Sylvan Ave U.S. Executive Center 3Rd Floor Suite 11 Englewood Cliffs NJ 07632-3119
Phone: (201) 875-5699
Fax: (201) 875-5448
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 37LC00081100 New Jersey
Behavioral Health & Social Service Providers / Clinical 1041C0700X 44SC04709400 New Jersey

Profile Details

NPI number 1477977411
LBN Legal business name Fedder, Lisa
Credentials MSW, LCSW, LCADC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 11th, 2014
Last updated Feb 11th, 2014 - about 11 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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