Individual
DR. LISA TALERICO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
810 EMERALD ST, #123, SAN DIEGO, CA 92109-2712
(619) 994-3341
Mailing address
810 EMERALD ST, #123, SAN DIEGO, CA 92109-2712
(619) 994-3341
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PSY 19743
CA
Other
Enumeration date
04/24/2008
Last updated
04/24/2008
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