Phillips, Lisa A

Phillips, Lisa A is an individual health care provider with primary practice located at 2201 E State St , Hermitage PA 16148-2727. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Phillips, Lisa A can be contacted via phone (724) 981-7141.

Contact Information

Primary practice address
2201 E State St Hermitage PA 16148-2727
Phone: (724) 981-7141
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X PS016395 Pennsylvania

Profile Details

NPI number 1801995527
LBN Legal business name Phillips, Lisa A
Credentials PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 21st, 2006
Last updated Aug 4th, 2020 - 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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Identifiers

StateTypeNumberIssuer
All States NPI 1801995527 NPPES
Pennsylvania MEDICAID 100000380

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