Andrade, Lisa

Andrade, Lisa is an sole proprietor health care provider with primary practice located at 3 Calisto Dr , Rehoboth MA 02769-2233. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Andrade, Lisa can be contacted via phone (401) 323-3781.

Contact Information

Primary practice address
3 Calisto Dr Rehoboth MA 02769-2233
Phone: (401) 323-3781
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 11535 Massachusetts
Behavioral Health & Social Service Providers / Clinical 103TC0700X PS01812 Rhode Island

Profile Details

NPI number 1114209491
LBN Legal business name Andrade, Lisa
Credentials Master of Arts (MA)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 13th, 2011
Last updated Jul 20th, 2022 - about 3 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 1114209491 NPPES
Massachusetts MEDICAID 1309161

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