Dickinson, Lisa

Dickinson, Lisa is an individual health care provider with primary practice located at 118 Sandhill Dr Ste 202 , Middletown DE 19709-5863. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Behavior Technician, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Dickinson, Lisa can be contacted via phone (302) 674-2380.

Contact Information

Primary practice address
118 Sandhill Dr Ste 202 Middletown DE 19709-5863
Phone: (302) 674-2380
Fax: (302) 674-1299
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X Maryland
Behavioral Health & Social Service Providers / Professional 101YP2500X

Profile Details

NPI number 1982190674
LBN Legal business name Dickinson, Lisa
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 5th, 2018
Last updated Apr 4th, 2024 - about last year

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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Identifiers

StateTypeNumberIssuer
All States NPI 1982190674 NPPES
Maryland MEDICAID 483106300

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