Lliteras, Lisa Marie
Lliteras, Lisa Marie is an individual health care provider with primary practice located at 855 N Euclid Ave , Ontario CA 91762-2762. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Psychologist. Behavioral Health & Social Service Providers / Psychologist is her primary health care specialty. Lliteras, Lisa Marie can be contacted via phone (909) 983-2020.Contact Information
Primary practice address
855 N Euclid Ave
Ontario CA 91762-2762
Phone: (909) 983-2020
Fax: (909) 983-6847
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | ||
Behavioral Health & Social Service Providers / Psychologist | 103T00000X | 30725 | California |
Profile Details
NPI number | 1275790602 |
---|---|
LBN Legal business name | Lliteras, Lisa Marie |
Credentials | PSYD |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | May 22nd, 2008 |
Last updated | Apr 4th, 2019 - about 5 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 | 1275790602 | NPPES |
California | MEDICAID | 95-1946482 |
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