Reddan, Lisa I

Reddan, Lisa I is an individual health care provider with primary practice located at 510 Hempstead Tpke Suite 202, West Hempstead NY 11552-1147. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Reddan, Lisa I can be contacted via phone (516) 437-6050.

Contact Information

Primary practice address
510 Hempstead Tpke Suite 202 West Hempstead NY 11552-1147
Phone: (516) 437-6050
Fax: (516) 437-6304
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 077184 New York

Profile Details

NPI number 1902975196
LBN Legal business name Reddan, Lisa I
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 6th, 2006
Last updated Jan 10th, 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1902975196 NPPES
New York MEDICAID 01666971

Popular Providers