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Contact Information

LISA EBAUGH, M.A.
1110 BENFIELD BLVD
SUITE J
MILLERSVILLE, MD21108-2639
 Phone: 410-987-2031
 Fax: 410-987-4710
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Psychologist

103T00000X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for LISA EBAUGH · (Female)

NPI # 1699002204
Status Active
Credentials M.A.
Entity Individual
Enumeration date 11/03/2009
Last updated 11/03/2009 - About 17 years ago
Sole proprietor 1 Yes
Identifiers Not Available
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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