Lisa Renn, LMSW
Early Intervention Provider Agency in Melville, NY. Individual provider (NPI-1).
NPI number1649753138
StatusActive
Last updated in NPPESSep 11, 2018
Details
- NPI
- 1649753138
- Entity type
- Individual (NPI-1)
- Name
- Lisa Renn
- Credential
- LMSW
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Sep 11, 2018
- Last updated
- Sep 11, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 252Y00000X | Early Intervention Provider Agency | – | – | Yes |
Practice location
225 Broadhollow Rd Ste 402Melville, NY 11747-4899
Phone 631-385-7780
Mailing address
225 Broadhollow Rd Ste 402Melville, NY 11747-4899
Phone 631-385-7780
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All 25 Early Intervention Provider Agency providers in Melville · All 2,420 providers in Melville
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