Nicholson, Lisa L
Nicholson, Lisa L is an individual health care provider with primary practice located at 29 Elm St , Brattleboro VT 05301-6511. She recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as her primary health care specialty. Nicholson, Lisa L can be contacted via phone (802) 254-7511.Contact Information
Primary practice address
29 Elm St
Brattleboro VT 05301-6511
Phone: (802) 254-7511
Fax: (802) 254-7506
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | 089-0000699 | Vermont |
Profile Details
| NPI number | 1114045671 |
|---|---|
| LBN Legal business name | Nicholson, Lisa L |
| Credentials | LICSW |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 26th, 2007 |
| Last updated | Jul 8th, 2007 - about 18 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 | 1114045671 | NPPES |
| Vermont | MEDICAID | OVN2757 | |
| Vermont | Other | 2158213 | |
| Vermont | Other | 49345 |
Popular Providers
-
Moran, John T
51 Fairview St , Brattleboro VT 05301-6629 -
Davidson, Judith A.
167 Main St Suite 401, Brattleboro VT 05301-7128 -
Fish, Carolyn E
67 Main St Suite 42, Brattleboro VT 05301-3908 -
Belcher-Timme, Barbara A
139 Main St Suite 708, Brattleboro VT 05301-3040 -
Titus, Deborah K
51 Fairview Street , Brattleboro VT 05301 -
Berton, Alexa C
50 Elliot Street Suite A, Brattleboro VT 05301-3274 -
Snyder, Jilisa
Anna Marsh Lane , Brattleboro VT 05302 -
Dakavana, Elizabeth Elharis
105 Highland Street , Brattleboro VT 05301