Christie-Wild, Lisa Marie

Christie-Wild, Lisa Marie is an individual health care provider with primary practice located at 175 Nassau Rd , Roosevelt NY 11575-2016. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Christie-Wild, Lisa Marie can be contacted via phone (516) 623-1644.

Contact Information

Primary practice address
175 Nassau Rd Roosevelt NY 11575-2016
Phone: (516) 623-1644
Fax: (516) 623-3125
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 072141-1 New York

Profile Details

NPI number 1295946903
LBN Legal business name Christie-Wild, Lisa Marie
Credentials LMSW
Entity Individual
Sole proprietor 1 No
Enumeration date May 24th, 2007
Last updated Jul 8th, 2007 - about 18 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.

Request for update

Popular Providers