Wolfe, Lisa H.

Wolfe, Lisa H. is an sole proprietor health care provider with primary practice located at 173 Mount Auburn St , Watertown MA 02472-4005. She recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as her primary health care specialty. Wolfe, Lisa H. can be contacted via phone (617) 924-0303.

Contact Information

Primary practice address
173 Mount Auburn St Watertown MA 02472-4005
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X 6250 Massachusetts

Profile Details

NPI number 1245380377
LBN Legal business name Wolfe, Lisa H.
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 11th, 2007
Last updated Dec 20th, 2010 - about 14 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 1245380377 NPPES
Massachusetts Other 766312 TUFTS HEALTH PLAN
Massachusetts MEDICAID 0521736 TUFTS HEALTH PLAN
Massachusetts Other 1171331 TUFTS HEALTH PLAN

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