Sergentanis, Lisa Marie
Sergentanis, Lisa Marie is an sole proprietor health care provider with primary practice located at 143 Shaker Road , East Longmeadow MA 01028-0216. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Sergentanis, Lisa Marie can be contacted via phone (413) 525-1711.Contact Information
Primary practice address
143 Shaker Road
East Longmeadow MA 01028-0216
Phone: (413) 525-1711
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 113028 | Massachusetts |
Profile Details
| NPI number | 1710107941 |
|---|---|
| LBN Legal business name | Sergentanis, Lisa Marie |
| Credentials | LICSW |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 30th, 2007 |
| Last updated | Jul 8th, 2007 - about 19 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 | 1710107941 | NPPES |
| Massachusetts | Other | 113028 | LICSW |
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