Mcclure, Lisa L.

Mcclure, Lisa L. is an individual health care provider with primary practice located at 8600 N State Route 91 Suite 240, Peoria IL 61615-9541. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Mcclure, Lisa L. can be contacted via phone (309) 683-5006.

Contact Information

Primary practice address
8600 N State Route 91 Suite 240 Peoria IL 61615-9541
Phone: (309) 683-5006
Fax: (309) 683-5095
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 071-006198 Illinois

Profile Details

NPI number 1265460133
LBN Legal business name Mcclure, Lisa L.
Credentials PSY.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 29th, 2006
Last updated May 4th, 2016 - 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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Identifiers

StateTypeNumberIssuer
All States NPI 1265460133 NPPES
Illinois Other 079195 HEALTH ALLIANCE

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