Pyenson, Lisa Michelle

Pyenson, Lisa Michelle is an individual health care provider with primary practice located at 42 Summer St , Pittsfield MA 01201-4624. She recently has 2 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 / Addiction (Substance Use Disorder) is her primary health care specialty. Pyenson, Lisa Michelle can be contacted via phone (413) 442-0402.

Contact Information

Primary practice address
42 Summer St Pittsfield MA 01201-4624
Phone: (413) 442-0402
Fax: (508) 753-5051
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X
Behavioral Health & Social Service Providers / Mental Health 101YM0800X

Profile Details

NPI number 1326391335
LBN Legal business name Pyenson, Lisa Michelle
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 16th, 2012
Last updated Oct 16th, 2012 - about 14 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 1326391335 NPPES
Massachusetts Other 22220002001 BLUE CROSS BLUE SHEILD
Massachusetts MEDICAID 1306461 BLUE CROSS BLUE SHEILD
Massachusetts Other M18684 BLUE CROSS BLUE SHEILD
Massachusetts MEDICAID 1308785 BLUE CROSS BLUE SHEILD

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