Goodman, Lisa Ellen

Goodman, Lisa Ellen is an individual health care provider with primary practice located at 125 Main St #601, Bradford PA 16701-2025. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Goodman, Lisa Ellen can be contacted via phone (814) 368-8644.

Contact Information

Primary practice address
125 Main St #601 Bradford PA 16701-2025
Phone: (814) 368-8644
Fax: (814) 368-6216
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X PC000862 Pennsylvania

Profile Details

NPI number 1689661548
LBN Legal business name Goodman, Lisa Ellen
Credentials Licensed Professional Counselor (LPC)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 5th, 2005
Last updated Jun 30th, 2017 - about 9 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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