Fennelly, Lisa

Fennelly, Lisa is an individual health care provider with primary practice located at 15 W Prospect St , East Brunswick NJ 08816-2161. She recently has only one registered license in Behavioral Health & Social Service Providers / Marriage & Family Therapist, which is considered as her primary health care specialty. Fennelly, Lisa can be contacted via phone (732) 254-0600.

Contact Information

Primary practice address
15 W Prospect St East Brunswick NJ 08816-2161
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 37FI00196000 New Jersey

Profile Details

NPI number 1780191270
LBN Legal business name Fennelly, Lisa
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 5th, 2018
Last updated Feb 18th, 2022 - about 2 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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