Blevins, Lisa Ann

Blevins, Lisa Ann is an sole proprietor health care provider with primary practice located at 501 Mission St Suite 102, Santa Cruz CA 95060-3661. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Blevins, Lisa Ann can be contacted via phone (408) 655-6219.

Contact Information

Primary practice address
501 Mission St Suite 102 Santa Cruz CA 95060-3661
Phone: (408) 655-6219
Fax: (408) 288-9824
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X PSY 14707 California

Profile Details

NPI number 1265639678
LBN Legal business name Blevins, Lisa Ann
Credentials PHD
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 29th, 2007
Last updated Aug 2nd, 2013 - about 12 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 1265639678 NPPES
California Other 030334 SAN JOSE CITY EMPLOYEE ID

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