Evans, Lisa Marie

Evans, Lisa Marie is an individual health care provider with primary practice located at 902 W Main St , Payson AZ 85541-4887. She recently has only one registered license in Behavioral Health & Social Service Providers / School, which is considered as her primary health care specialty. Evans, Lisa Marie can be contacted via phone (928) 472-5800.

Contact Information

Primary practice address
902 W Main St Payson AZ 85541-4887
Fax: (928) 472-2008
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / School 103TS0200X 4016647 Arizona

Profile Details

NPI number 1295990521
LBN Legal business name Evans, Lisa Marie
Credentials NCSP
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 25th, 2008
Last updated Sep 23rd, 2010 - about 14 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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