Rodriguez, Lyssie
Rodriguez, Lyssie is an individual health care provider with primary practice located at 1111 Elm St , W Springfield MA 01089-1782. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Rodriguez, Lyssie can be contacted via phone (413) 734-0300.Contact Information
Primary practice address
1111 Elm St
W Springfield MA 01089-1782
Phone: (413) 734-0300
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X |
Profile Details
| NPI number | 1548673973 |
|---|---|
| LBN Legal business name | Rodriguez, Lyssie |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 3rd, 2014 |
| Last updated | Jun 3rd, 2014 - about 10 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 | 1548673973 | NPPES |
| Massachusetts | MEDICAID | 110026265E |
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