Eckelkamp, Lisa

Eckelkamp, Lisa is an sole proprietor health care provider with primary practice located at 5 Maes Rd B, Corrales NM 87048. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Behavioral Analyst, Speech, Language and Hearing Service Providers / Speech-Language Pathologist. Behavioral Health & Social Service Providers / Behavioral Analyst is her primary health care specialty. Eckelkamp, Lisa can be contacted via phone (505) 249-8714.

Contact Information

Primary practice address
5 Maes Rd B Corrales NM 87048
Phone: (505) 249-8714
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X 11623536 New Mexico
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X 3167 New Mexico

Profile Details

NPI number 1174658819
LBN Legal business name Eckelkamp, Lisa
Credentials MS, CCC-SLP, BCBA
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 22nd, 2007
Last updated Apr 21st, 2017 - about 9 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 1174658819 NPPES
New Mexico MEDICAID 16939743

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