Fedewa, Lisa
Fedewa, Lisa is an individual health care provider with primary practice located at 259 Bill France Blvd Suite 200, Daytona Beach FL 32114-1316. She recently has only one registered license in Behavioral Health & Social Service Providers / Counselor, which is considered as her primary health care specialty. Fedewa, Lisa can be contacted via phone (904) 586-6560.Contact Information
Primary practice address
259 Bill France Blvd Suite 200
Daytona Beach FL 32114-1316
Phone: (904) 586-6560
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Counselor | 101Y00000X |
Profile Details
NPI number | 1265776454 |
---|---|
LBN Legal business name | Fedewa, Lisa |
Credentials | |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Nov 12th, 2012 |
Last updated | Aug 5th, 2014 - 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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