Slade, Lisa Michelle

Slade, Lisa Michelle is an sole proprietor health care provider with primary practice located at 1115 Main St Ste 702 , Bridgeport CT 06604-4406. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Slade, Lisa Michelle can be contacted via phone (203) 334-5500.

Contact Information

Primary practice address
1115 Main St Ste 702 Bridgeport CT 06604-4406
Phone: (203) 334-5500
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 0001781 Connecticut

Profile Details

NPI number 1518103399
LBN Legal business name Slade, Lisa Michelle
Credentials Licensed Professional Counselor (LPC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 27th, 2008
Last updated Dec 27th, 2008 - about 17 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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