Stephen, Lisa M.
Stephen, Lisa M. is an individual health care provider with primary practice located at 89 Rye Cir , South Burlington VT 05403-7632. She recently has 5 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Counseling, Behavioral Health & Social Service Providers / Clinical Child & Adolescent, Behavioral Health & Social Service Providers / Family, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Stephen, Lisa M. can be contacted via phone (802) 355-9299.Contact Information
Primary practice address
89 Rye Cir
South Burlington VT 05403-7632
Phone: (802) 355-9299
Fax: (802) 419-3399
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | 048-0000778 | Vermont |
| Behavioral Health & Social Service Providers / Counseling | 103TC1900X | 048-0000778 | Vermont |
| Behavioral Health & Social Service Providers / Clinical Child & Adolescent | 103TC2200X | 048-0000778 | Vermont |
| Behavioral Health & Social Service Providers / Family | 103TF0000X | 048-0000778 | Vermont |
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 0480000778 | Vermont |
Profile Details
| NPI number | 1699862342 |
|---|---|
| LBN Legal business name | Stephen, Lisa M. |
| Credentials | PH.D. |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 6th, 2006 |
| Last updated | May 15th, 2019 - about 5 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 | 1699862342 | NPPES |
| Vermont | Other | 113769 | TEAMSTERS BENEFIT HEALTH |
| Vermont | Other | 2060312 | TEAMSTERS BENEFIT HEALTH |
| Vermont | Other | 415801 | TEAMSTERS BENEFIT HEALTH |
| Vermont | MEDICAID | 1011334 | TEAMSTERS BENEFIT HEALTH |
| Vermont | Other | 189876000 | TEAMSTERS BENEFIT HEALTH |
| Vermont | Other | 362-58036 | TEAMSTERS BENEFIT HEALTH |
| Vermont | Other | 87726 | TEAMSTERS BENEFIT HEALTH |
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