Provider Demographics
NPI:1275827321
Name:MARCHAND, LISA ANN (MED)
Entity Type:Individual
Prefix:MISS
First Name:LISA
Middle Name:ANN
Last Name:MARCHAND
Suffix:
Gender:F
Credentials:MED
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:49 SUMMER ST
Mailing Address - Street 2:
Mailing Address - City:SALEM
Mailing Address - State:MA
Mailing Address - Zip Code:01970-3334
Mailing Address - Country:US
Mailing Address - Phone:978-317-6112
Mailing Address - Fax:
Practice Address - Street 1:49 SUMMER ST
Practice Address - Street 2:
Practice Address - City:SALEM
Practice Address - State:MA
Practice Address - Zip Code:01970-3334
Practice Address - Country:US
Practice Address - Phone:978-317-6112
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-06-07
Last Update Date:2011-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health