Lisson, Gail Lesley
Lisson, Gail Lesley is an sole proprietor health care provider with primary practice located at 112 N Circle Dr Suite B, Rocky Mount NC 27804-2430. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Lisson, Gail Lesley can be contacted via phone (252) 206-6930.Contact Information
Primary practice address
112 N Circle Dr Suite B
Rocky Mount NC 27804-2430
Phone: (252) 206-6930
Fax: (252) 443-9101
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 3456 | North Carolina |
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | PY6958 | Florida |
Profile Details
| NPI number | 1427230820 |
|---|---|
| LBN Legal business name | Lisson, Gail Lesley |
| Credentials | PSY.D. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 28th, 2007 |
| Last updated | Jun 26th, 2008 - 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 | 1427230820 | NPPES |
| North Carolina | MEDICAID | 6001035 |
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