De Lissovoy, Victoria
De Lissovoy, Victoria is an sole proprietor health care provider with primary practice located at 1109 Bryn Mawr Ave , Lake Wales FL 33853-4333. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. De Lissovoy, Victoria can be contacted via phone (863) 605-1865.Contact Information
Primary practice address
1109 Bryn Mawr Ave
Lake Wales FL 33853-4333
Phone: (863) 605-1865
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | SW6807 | Florida |
Profile Details
| NPI number | 1639124100 |
|---|---|
| LBN Legal business name | De Lissovoy, Victoria |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 23rd, 2006 |
| Last updated | Jun 4th, 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.
Popular Providers
-
Braunstein, Colette
749 State Road 60 E , Lake Wales FL 33853-4240 -
Kootte, Anton Frans
439 Sw Michigan St , Lake City FL 32025-0440 -
Coll Rivera, Luris
6 W Park Ave Unit 1363 , Lake Wales FL 33859-6257 -
Bennett, Charlene G
929 Carlton Ave , Lake Wales FL 33853-4238 -
Fox, Debra L
8401 Lake Worth Rd Suite 219, Lake Worth FL 33467-2400 -
Thompson, Shannon Marie
1408 N Killian Drive Ste 203, Lake Park FL 33403 -
Uzzi, Judith Uzzi Ann
2290 10Th Ave N , Lake Worth FL 33461-6607 -
Tillman, Stephanie Ann
820 Chamberlain Loop , Lake Wales FL 33853-2800