Burgess, Lisa M
Burgess, Lisa M is an individual health care provider with primary practice located at 7227 N 16Th St Suite 219, Phoenix AZ 85020-5251. She recently has 7 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Cognitive & Behavioral, Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Forensic, Behavioral Health & Social Service Providers / Health Service, Behavioral Health & Social Service Providers / Rehabilitation. Behavioral Health & Social Service Providers / Psychologist is her primary health care specialty. Burgess, Lisa M can be contacted via phone (602) 216-6900.Contact Information
Primary practice address
7227 N 16Th St Suite 219
Phoenix AZ 85020-5251
Phone: (602) 216-6900
Fax: (602) 371-9889
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | 3858 | Arizona |
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 103TA0400X | 3858 | Arizona |
| Behavioral Health & Social Service Providers / Cognitive & Behavioral | 103TB0200X | 3858 | Arizona |
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 3858 | Arizona |
| Behavioral Health & Social Service Providers / Forensic | 103TF0200X | 3858 | Arizona |
| Behavioral Health & Social Service Providers / Health Service | 103TH0100X | 3858 | Arizona |
| Behavioral Health & Social Service Providers / Rehabilitation | 103TR0400X | 3858 | Arizona |
Profile Details
| NPI number | 1184740144 |
|---|---|
| LBN Legal business name | Burgess, Lisa M |
| Credentials | PHD |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 21st, 2007 |
| Last updated | Apr 7th, 2008 - 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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