Terry, Lisa J
Terry, Lisa J is an sole proprietor health care provider with primary practice located at 3150 Cardinal Dr Ste 201 , Vero Beach FL 32963-1931. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Terry, Lisa J can be contacted via phone (772) 633-6723.Contact Information
Primary practice address
3150 Cardinal Dr Ste 201
Vero Beach FL 32963-1931
Phone: (772) 633-6723
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 4258 | Florida |
Profile Details
| NPI number | 1154345452 |
|---|---|
| LBN Legal business name | Terry, Lisa J |
| Credentials | MSW, LCSW |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 27th, 2006 |
| Last updated | Jun 7th, 2023 - about last year |
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 | 1154345452 | NPPES |
| Florida | Other | Z7258 | BCBS PROVIDER NUMBER |
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