Liss, Peggy S.
Liss, Peggy S. is an individual health care provider with primary practice located at 2311 Glenwood Dr , Kalamazoo MI 49008-1978. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Marriage & Family Therapist. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Liss, Peggy S. can be contacted via phone (269) 598-3886.Contact Information
Primary practice address
2311 Glenwood Dr
Kalamazoo MI 49008-1978
Phone: (269) 598-3886
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | ||
| Behavioral Health & Social Service Providers / Marriage & Family Therapist | 106H00000X | 4101005896 | Michigan |
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 6801020585 | Michigan |
Profile Details
| NPI number | 1285690685 |
|---|---|
| LBN Legal business name | Liss, Peggy S. |
| Credentials | LMSW |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 25th, 2006 |
| Last updated | May 8th, 2019 - about 7 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1285690685 | NPPES |
| Michigan | MEDICAID | 6130497 |
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