Bennett, Lisah Nichole
Bennett, Lisah Nichole is an individual health care provider with primary practice located at 625 S. Fair Oaks Blvd #300 , South Pasadena CA 91030. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Rehabilitation Practitioner, which is considered as her primary health care specialty. Bennett, Lisah Nichole can be contacted via phone (626) 831-2509.Contact Information
Primary practice address
625 S. Fair Oaks Blvd #300
South Pasadena CA 91030
Phone: (626) 831-2509
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Rehabilitation Practitioner | 225400000X | IMF 46200 | California |
Profile Details
| NPI number | 1952431793 |
|---|---|
| LBN Legal business name | Bennett, Lisah Nichole |
| Credentials | MS MFT |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 7th, 2007 |
| Last updated | Jul 13th, 2007 - about 17 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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