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Organization
LISA A DAVIDSON, PHD, APC
Active
Organization
LISA A DAVIDSON, PHD, APC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LISA A DAVIDSON PHD (PRESIDENT)
(858) 672-0130
Entity
Organization
Contact information
Practice address
14015 MIDLAND RD, POWAY, CA 92064-3959
(858) 672-0130
(858) 391-0499
Mailing address
14015 MIDLAND RD, POWAY, CA 92064-3959
(858) 672-0130
(858) 391-0499
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY19308
CA
Other
Enumeration date
10/24/2012
Last updated
10/24/2012
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