Merilson, Lisa Sundvall

Merilson, Lisa Sundvall is an individual health care provider with primary practice located at 221 N Causeway Suite B, New Smyrna Beach FL 32169-5298. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical Neuropsychologist, Behavioral Health & Social Service Providers / Psychologist. Behavioral Health & Social Service Providers / Clinical Neuropsychologist is her primary health care specialty. Merilson, Lisa Sundvall can be contacted via phone (386) 423-0442.

Contact Information

Primary practice address
221 N Causeway Suite B New Smyrna Beach FL 32169-5298
Phone: (386) 423-0442
Fax: (386) 423-0402
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical Neuropsychologist 103G00000X PY 6889 Florida
Behavioral Health & Social Service Providers / Psychologist 103T00000X PY6889 Florida

Profile Details

NPI number 1932140175
LBN Legal business name Merilson, Lisa Sundvall
Credentials PSY.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 9th, 2006
Last updated Jul 8th, 2007 - about 19 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 1932140175 NPPES
Florida Other 74094 BLUE CROSS BLUE SHIELD
Florida Other 7280563 BLUE CROSS BLUE SHIELD
Florida Other 1416 BLUE CROSS BLUE SHIELD

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