Martin, Lise
Martin, Lise is an sole proprietor health care provider with primary practice located at 70 Washington St Suite 320, Salem MA 01970-3518. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Martin, Lise can be contacted via phone (978) 741-7890.Contact Information
Primary practice address
70 Washington St Suite 320
Salem MA 01970-3518
Phone: (978) 741-7890
Fax: (978) 741-7890
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 6582 | Massachusetts |
Profile Details
| NPI number | 1083725766 |
|---|---|
| LBN Legal business name | Martin, Lise |
| Credentials | PSYD |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 31st, 2006 |
| Last updated | Apr 22nd, 2013 - about 11 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 | 1083725766 | NPPES |
| Massachusetts | Other | 762170 | MEDEX BC |
| Massachusetts | Other | 1083725766 | MEDEX BC |
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