Supino, Lisa Michelle

Supino, Lisa Michelle is an sole proprietor health care provider with primary practice located at 6 Thorndal Circle , Darien CT 06820. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Supino, Lisa Michelle can be contacted via phone (858) 254-4302.

Contact Information

Primary practice address
6 Thorndal Circle Darien CT 06820
Phone: (858) 254-4302
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 017490-1 New York
Behavioral Health & Social Service Providers / Clinical 103TC0700X 002888 Connecticut

Profile Details

NPI number 1740431667
LBN Legal business name Supino, Lisa Michelle
Credentials PSY.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 9th, 2008
Last updated Oct 9th, 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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