Lewis, Lisa
Lewis, Lisa is an sole proprietor health care provider with primary practice located at 179 Longwood Ave Mcphs U, Boston MA 02115-5804. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Psychologist. Behavioral Health & Social Service Providers / Psychologist is her primary health care specialty. Lewis, Lisa can be contacted via phone (617) 879-5984.Contact Information
Primary practice address
179 Longwood Ave Mcphs U
Boston MA 02115-5804
Phone: (617) 879-5984
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | 1344AL | Massachusetts |
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | 6906 | Massachusetts |
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | 9741 | Massachusetts |
Profile Details
| NPI number | 1366682197 |
|---|---|
| LBN Legal business name | Lewis, Lisa |
| Credentials | EDD PSYCHOLOGIST |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 6th, 2009 |
| Last updated | Dec 10th, 2013 - about 13 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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