Freeman, Lisa

Freeman, Lisa is an sole proprietor health care provider with primary practice located at 10715 Charter Dr Suite 270, Columbia MD 21044-2882. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Freeman, Lisa can be contacted via phone (410) 992-5078.

Contact Information

Primary practice address
10715 Charter Dr Suite 270 Columbia MD 21044-2882
Phone: (410) 992-5078
Fax: (410) 992-9669
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 03904 Maryland

Profile Details

NPI number 1386781938
LBN Legal business name Freeman, Lisa
Credentials PH.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 31st, 2007
Last updated Jun 17th, 2009 - about 17 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 1386781938 NPPES
Maryland Other GQ75LM 61937403 BCBS CAREFIRST MD
Maryland Other 88460001 BCBS CAREFIRST MD

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