Krock, Lisa A
Krock, Lisa A is an sole proprietor health care provider with primary practice located at 24 Rockland St , Hanover MA 02339-2226. She recently has 7 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Family, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Adult Development & Aging, Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Clinical Child & Adolescent, Behavioral Health & Social Service Providers / Forensic. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Krock, Lisa A can be contacted via phone (781) 826-8228.Contact Information
Primary practice address
24 Rockland St
Hanover MA 02339-2226
Phone: (781) 826-8228
Fax: (781) 826-0965
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | 3003 | Massachusetts |
| Behavioral Health & Social Service Providers / Family | 103TF0000X | 3003 | Massachusetts |
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 103TA0400X | 3003 | Massachusetts |
| Behavioral Health & Social Service Providers / Adult Development & Aging | 103TA0700X | 3003 | Massachusetts |
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 3003 | Massachusetts |
| Behavioral Health & Social Service Providers / Clinical Child & Adolescent | 103TC2200X | 3003 | Massachusetts |
| Behavioral Health & Social Service Providers / Forensic | 103TF0200X | 3003 | Massachusetts |
Profile Details
| NPI number | 1538220751 |
|---|---|
| LBN Legal business name | Krock, Lisa A |
| Credentials | ED.D. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 12th, 2006 |
| Last updated | Sep 7th, 2007 - about 17 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 | 1538220751 | NPPES |
| Massachusetts | MEDICAID | 0510629 |
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