Organization
LISA R GROSSMAN PHD PSYCHOLOGIST A PROFESSIONAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LISA R. GROSSMAN PH.D. (PSYCHOLOGIST)
(707) 527-0295
Entity
Organization
Contact information
Practice address
825 COLLEGE AVE, SANTA ROSA, CA 95404-4108
(707) 527-0295
(707) 527-4036
Mailing address
825 COLLEGE AVE, SANTA ROSA, CA 95404-4108
(707) 527-0295
(707) 527-4036
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PSY19121
CA
Other
Enumeration date
04/27/2015
Last updated
06/26/2015
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