Polisano, Lisa Grace

Polisano, Lisa Grace is an individual health care provider with primary practice located at 975 Flynn Rd , Camarillo CA 93012-8704. She recently has only one registered license in Behavioral Health & Social Service Providers / Marriage & Family Therapist, which is considered as her primary health care specialty. Polisano, Lisa Grace can be contacted via phone (805) 914-1439.

Contact Information

Primary practice address
975 Flynn Rd Camarillo CA 93012-8704
Phone: (805) 914-1439
Fax: (805) 482-0987
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 46922 California

Profile Details

NPI number 1043342140
LBN Legal business name Polisano, Lisa Grace
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 12th, 2007
Last updated Mar 12th, 2009 - about 15 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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