Dodd, Lisa Carol

Dodd, Lisa Carol is an individual health care provider with primary practice located at 6 Mathis Dr Nw , Rome GA 30165-1242. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Dodd, Lisa Carol can be contacted via phone (706) 270-5033.

Contact Information

Primary practice address
6 Mathis Dr Nw Rome GA 30165-1242
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X

Profile Details

NPI number 1225402480
LBN Legal business name Dodd, Lisa Carol
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 25th, 2015
Last updated Dec 30th, 2015 - about 10 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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Identifiers

StateTypeNumberIssuer
All States NPI 1225402480 NPPES
Georgia MEDICAID 58-2103386

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