Real, Lisa

Real, Lisa is an individual health care provider with primary practice located at 11401 Bloomfield Ave , Norwalk CA 90650-2015. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Real, Lisa can be contacted via phone (562) 521-1152.

Contact Information

Primary practice address
11401 Bloomfield Ave Norwalk CA 90650-2015
Phone: (562) 521-1152
Fax: (562) 651-1201
Website:
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Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Behavioral Health & Social Service Providers / Clinical 103TC0700X PSY31150 California

Profile Details

NPI number 1639585755
LBN Legal business name Real, Lisa
Credentials PSYD
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 9th, 2014
Last updated Oct 30th, 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.

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