Spivack, Lisa

Spivack, Lisa is an sole proprietor health care provider with primary practice located at 16 Locust Ave , Mill Valley CA 94941-2806. She recently has only one registered license in Behavioral Health & Social Service Providers / Marriage & Family Therapist, which is considered as her primary health care specialty. Spivack, Lisa can be contacted via phone (415) 378-2016.

Contact Information

Primary practice address
16 Locust Ave Mill Valley CA 94941-2806
Phone: (415) 378-2016
Fax: (415) 378-2016
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X MFC #45618 California

Profile Details

NPI number 1649398918
LBN Legal business name Spivack, Lisa
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 26th, 2007
Last updated Oct 25th, 2010 - about 16 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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