Individual
EILEEN LUSSIER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
1325 E CHURCH ST, 207, MAILBOX 12, SANTA MARIA, CA 93454-5909
(805) 904-0399
(805) 614-5843
Mailing address
1325 E CHURCH ST, 207, MAILBOX 12, SANTA MARIA, CA 93454-5909
(805) 904-0399
(805) 614-5843
Taxonomy
Speciality
Code
Description
License number
State
103TA0400X
Addiction (Substance Use Disorder) Psychologist
PSY19249
CA
103TA0700X
Adult Development & Aging Psychologist
PSY19249
CA
103TB0200X
Cognitive & Behavioral Psychologist
PSY19249
CA
103TC0700X
Clinical Psychologist
Primary
PSY19249
CA
103TH0100X
Health Service Psychologist
PSY19249
CA
103TM1800X
Intellectual & Developmental Disabilities Psychologist
PSY19249
CA
Other
Enumeration date
02/18/2009
Last updated
10/06/2012
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