Dierking, Lisa

Dierking, Lisa is an individual health care provider with primary practice located at 8 Medical Plz , Mountain Home AR 72653-2919. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Dierking, Lisa can be contacted via phone (870) 425-6901.

Contact Information

Primary practice address
8 Medical Plz Mountain Home AR 72653-2919
Phone: (870) 425-6901
Fax: (870) 424-8703
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 1817-M Arkansas

Profile Details

NPI number 1538238670
LBN Legal business name Dierking, Lisa
Credentials LMSW
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 6th, 2006
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.

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