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
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1154345452 NPPES
Florida Other Z7258 BCBS PROVIDER NUMBER

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