Individual
MRS. LISA RENEE HEMSTREET
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS,HSP-PA
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
1596
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
13857
BCBS NC
NC
Enumeration date
03/20/2007
Last updated
07/08/2007
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