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:
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Health care specialties

SpecialtyCodeLicense #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 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 1275790602 NPPES
California MEDICAID 95-1946482

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