Ms. Lisa Jane Booan
School Psychologist
5901 Plantation Cir
Roanoke
, Virginia 24019-4937
Ms. Lisa Jane Booan
School Psychologist
5901 Plantation Cir
Roanoke
, Virginia 24019-4937
(540) 561-8175
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About
Features
Specialties
- School Psychologist
Languages spoken
- English
Location
First Address
- Ms. Lisa Jane Booan
- 5901 Plantation Cir
- Roanoke, VA
- Zip : 24019-4937
- Phone : (540) 561-8175
Second Address
- Ms. Lisa Jane Booan
- 5901 Plantation Cir
- Roanoke, VA
- Zip : 24019-4937
- Phone : (540) 561-8175
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 103TS0200X | School Psychologist | 0813001187 | VA |
National Provider Identifier
| NPI | 1043971856 |
|---|---|
| Provider Name | Ms. Lisa Jane Booan |
| First Address | Roanoke, VA 24019-4937 |
| Second Address | Roanoke, VA 24019-4937 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 04/01/2022 |
| Last Update Date | 04/01/2022 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 0813001187 | STATE LICENSE LIMITED (01) | VA |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.