Grossman, Lisa M

Grossman, Lisa M is an sole proprietor health care provider with primary practice located at 5607 26Th St W , Bradenton FL 34207-3516. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Other Service Providers / Acupuncturist. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Grossman, Lisa M can be contacted via phone (941) 779-7443.

Contact Information

Primary practice address
5607 26Th St W Bradenton FL 34207-3516
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 1030424 Massachusetts
Behavioral Health & Social Service Providers / Clinical 1041C0700X SW9349 Florida
Other Service Providers / Acupuncturist 171100000X AP2683 Florida

Profile Details

NPI number 1578797510
LBN Legal business name Grossman, Lisa M
Credentials DOM, AP, LCSW
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 5th, 2009
Last updated Jul 25th, 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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