Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MS. LISA RAE BIRNBAUM, ED.S
Active Sole ProprietorMS. LISA RAE BIRNBAUM, ED.S is a School Psychologist healthcare provider located in MISSOULA, Montana. NPI 1487316956 is currently active in the NPPES registry. Verify at CMS.
School Psychologist · MISSOULA, MT
Registration Details
- NPI Number
- 1487316956
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Oct 12, 2021 (4.7964264641764 yrs)
- Last Updated
- Oct 12, 2021
- License
-
72601 (MT)
- Sole Proprietor
- Yes
Practice Information
- Address
-
325 E CENTRAL AVEMISSOULA, MT, 598016914Browse MT providers · Browse ZIP 59801
- Phone
- 4063701771
- Primary Specialty
-
School Psychologist
103TS0200X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.