Provider Demographics
NPI:1023057890
Name:SJODIN-FELDMAN, LISA E (MD)
Entity type:Individual
Prefix:DR
First Name:LISA
Middle Name:E
Last Name:SJODIN-FELDMAN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:LISA
Other - Middle Name:E
Other - Last Name:SJODIN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:SMHC SANFORD BEHAVIORAL HEALTH UNIT
Mailing Address - Street 2:25 JUNE STREET
Mailing Address - City:SANFORD
Mailing Address - State:ME
Mailing Address - Zip Code:04073
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:717-560-3787
Practice Address - Street 1:SMHC SANFORD BEHAVIORAL HEALTH UNIT
Practice Address - Street 2:25 JUNE STREET
Practice Address - City:SANFORD
Practice Address - State:ME
Practice Address - Zip Code:04073
Practice Address - Country:US
Practice Address - Phone:207-490-7000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-06-06
Last Update Date:2023-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD00628472084P0800X
PAMD4413392084P0800X
MEMD267262084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry