Walsh, Lisa Dyan

Walsh, Lisa Dyan is an individual health care provider with primary practice located at 508 Cherokee St , Leavenworth KS 66048-2626. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Walsh, Lisa Dyan can be contacted via phone (913) 206-8154.

Contact Information

Primary practice address
508 Cherokee St Leavenworth KS 66048-2626
Phone: (913) 206-8154
Fax: (913) 273-4559
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 932 Kansas

Profile Details

NPI number 1962783092
LBN Legal business name Walsh, Lisa Dyan
Credentials PHD, LCP
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 2nd, 2011
Last updated May 24th, 2022 - about 2 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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Identifiers

StateTypeNumberIssuer
All States NPI 1962783092 NPPES
Kansas Other 1609274430 NPPES
Kansas Other 932 NPPES

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