Individual
DR. LORI ANN JESPERSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D
Contact information
Practice address
471 LINCOLN AVE, COTATI, CA 94931-6105
(707) 795-5754
Mailing address
471 LINCOLN AVE, COTATI, CA 94931-6105
(707) 795-5754
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PSY 21873
CA
Other
Enumeration date
03/05/2008
Last updated
03/05/2008
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