Pedersen, Lisa Marie
Pedersen, Lisa Marie is an sole proprietor health care provider with primary practice located at 25825 Vermont Ave , Harbor City CA 90710-3518. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Pedersen, Lisa Marie can be contacted via phone (424) 251-7791.Contact Information
Primary practice address
25825 Vermont Ave
Harbor City CA 90710-3518
Phone: (424) 251-7791
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Clinical | 1041C0700X | LCS17867 | California |
Profile Details
NPI number | 1386857845 |
---|---|
LBN Legal business name | Pedersen, Lisa Marie |
Credentials | Licensed Clinical Social Worker (LCSW) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | May 8th, 2007 |
Last updated | Dec 27th, 2021 - about 4 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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