Dahlgren, Lisa Ann
Dahlgren, Lisa Ann is an sole proprietor health care provider with primary practice located at 12400 Olive Blvd Ste 205, Creve Coeur MO 63141-6431. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Dahlgren, Lisa Ann can be contacted via phone (636) 394-6210.Contact Information
Primary practice address
12400 Olive Blvd Ste 205
Creve Coeur MO 63141-6431
Phone: (636) 394-6210
Fax: (314) 275-2301
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 01546 | Missouri |
Profile Details
| NPI number | 1588722193 |
|---|---|
| LBN Legal business name | Dahlgren, Lisa Ann |
| Credentials | PH. D. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 5th, 2006 |
| Last updated | Jul 8th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1588722193 | NPPES |
| Missouri | Other | 28825 | ANTHEM BLUE CROSS BS |
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