Hendrickson, Lisa

Hendrickson, Lisa is an sole proprietor health care provider with primary practice located at 15 Fortune Rd W , Middletown NY 10941-1625. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Hendrickson, Lisa can be contacted via phone (845) 692-4454.

Contact Information

Primary practice address
15 Fortune Rd W Middletown NY 10941-1625
Phone: (845) 692-4454
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 083094-1 New York

Profile Details

NPI number 1497204507
LBN Legal business name Hendrickson, Lisa
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 30th, 2016
Last updated Mar 22nd, 2017 - about 7 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.

Request for update

Popular Providers