Osvold, Lise Leigh

Osvold, Lise Leigh is an sole proprietor health care provider with primary practice located at 5500 Mcneely Dr Suite 101, Raleigh NC 27612-7623. She recently has only one registered license in Behavioral Health & Social Service Providers / Counseling, which is considered as her primary health care specialty. Osvold, Lise Leigh can be contacted via phone (919) 787-1240.

Contact Information

Primary practice address
5500 Mcneely Dr Suite 101 Raleigh NC 27612-7623
Phone: (919) 787-1240
Fax: (919) 787-1241
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counseling 103TC1900X 2675 North Carolina

Profile Details

NPI number 1033139456
LBN Legal business name Osvold, Lise Leigh
Credentials PH.D., L.P.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 20th, 2006
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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1033139456 NPPES
North Carolina MEDICAID 6000547

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