Irey, Lisa Ann

Irey, Lisa Ann is an individual health care provider with primary practice located at 3200 E Guasti Rd Ste 100 , Ontario CA 91761-8661. She recently has only one registered license in Behavioral Health & Social Service Providers / Marriage & Family Therapist, which is considered as her primary health care specialty. Irey, Lisa Ann can be contacted via phone (909) 527-5969.

Contact Information

Primary practice address
3200 E Guasti Rd Ste 100 Ontario CA 91761-8661
Phone: (909) 527-5969
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 122851 California
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 128538 California

Profile Details

NPI number 1811366065
LBN Legal business name Irey, Lisa Ann
Credentials MS, LMFT, 128538
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 17th, 2015
Last updated May 28th, 2022 - about 4 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 1811366065 NPPES
California Other 128538 BOARD OF BEHAVIORAL SCIENCES
California MEDICAID 1811366065 BOARD OF BEHAVIORAL SCIENCES

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