Detenber, Liza

Detenber, Liza is an sole proprietor health care provider with primary practice located at 7 E Lake St , Worcester MA 01604-1315. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / School. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Detenber, Liza can be contacted via phone (508) 796-9200.

Contact Information

Primary practice address
7 E Lake St Worcester MA 01604-1315
Phone: (508) 796-9200
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X
Behavioral Health & Social Service Providers / School 1041S0200X
Behavioral Health & Social Service Providers / Clinical 1041C0700X 122397 Massachusetts

Profile Details

NPI number 1992258578
LBN Legal business name Detenber, Liza
Credentials LICSW
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 29th, 2016
Last updated Jan 18th, 2022 - about 3 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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