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Contact Information

LISA A BOWLINE, CASAC A
133 N LEWIS ST
AUBURN, NY13021-2027
 Phone: 315-382-3334
 Fax: 315-382-3334
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Addiction (Substance Use Disorder)

103TA0400X 62 Psychologist, Clinical
 

Addiction (Substance Use Disorder)

101YA0400X
Indicates primary specialty

NPI Profile & details for LISA A BOWLINE · (Female)

NPI # 1033092614
Status Active
Credentials CASAC A
Entity Individual
Enumeration date 07/30/2025
Last updated 07/30/2025 - About 10 months ago
Sole proprietor 1 No
Identifiers
  • License # 35025
  • NY License # 35025
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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