Southern, Lisa M

Southern, Lisa M is an individual health care provider with primary practice located at 1145 E Kansas Plz , Garden City KS 67846-5870. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Cognitive & Behavioral, Behavioral Health & Social Service Providers / Psychologist. Behavioral Health & Social Service Providers / Cognitive & Behavioral is her primary health care specialty. Southern, Lisa M can be contacted via phone (620) 275-0625.

Contact Information

Primary practice address
1145 E Kansas Plz Garden City KS 67846-5870
Phone: (620) 275-0625
Fax: (620) 275-7908
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Cognitive & Behavioral 103TB0200X LMLP 0495 Kansas
Behavioral Health & Social Service Providers / Psychologist 103T00000X LCP 128 Kansas

Profile Details

NPI number 1184676702
LBN Legal business name Southern, Lisa M
Credentials LMLP, LCP
Entity Individual
Sole proprietor 1 No
Enumeration date May 16th, 2006
Last updated Jul 8th, 2007 - 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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