Ruderman, Lisa Amy

Ruderman, Lisa Amy is an sole proprietor health care provider with primary practice located at 9850 Genesee Ave 425, La Jolla CA 92037-1224. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Ruderman, Lisa Amy can be contacted via phone (858) 452-8467.

Contact Information

Primary practice address
9850 Genesee Ave 425 La Jolla CA 92037-1224
Fax: (858) 452-8547
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X MFC37853 California

Profile Details

NPI number 1912044124
LBN Legal business name Ruderman, Lisa Amy
Credentials MA MFT
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 30th, 2007
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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