Liss, Peggy S.

Liss, Peggy S. is an individual health care provider with primary practice located at 2311 Glenwood Dr , Kalamazoo MI 49008-1978. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Marriage & Family Therapist. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Liss, Peggy S. can be contacted via phone (269) 598-3886.

Contact Information

Primary practice address
2311 Glenwood Dr Kalamazoo MI 49008-1978
Phone: (269) 598-3886
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 4101005896 Michigan
Behavioral Health & Social Service Providers / Clinical 1041C0700X 6801020585 Michigan

Profile Details

NPI number 1285690685
LBN Legal business name Liss, Peggy S.
Credentials LMSW
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 25th, 2006
Last updated May 8th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1285690685 NPPES
Michigan MEDICAID 6130497

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