Goodman, Lisa Ann
Goodman, Lisa Ann is an sole proprietor health care provider with primary practice located at 2000 Waterdam Plaza Dr Ste 240 , Canonsburg PA 15317-5411. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Goodman, Lisa Ann can be contacted via phone (412) 322-2129.Contact Information
Primary practice address
2000 Waterdam Plaza Dr Ste 240
Canonsburg PA 15317-5411
Phone: (412) 322-2129
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X |
Profile Details
| NPI number | 1770121386 |
|---|---|
| LBN Legal business name | Goodman, Lisa Ann |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 13th, 2019 |
| Last updated | Dec 13th, 2019 - about 6 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1770121386 | NPPES |
| Pennsylvania | Other | CW020822 | PSYCHOTHERAPIST |
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