Individual
LISA TULLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2500 REDHILL AVE, STE 290A, SANTA ANA, CA 92705-5518
(949) 267-0201
(949) 267-0299
Mailing address
10725 INTERNATIONAL DR, RANCHO CORDOVA, CA 95670-7967
(949) 267-0201
(949) 267-0299
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PSY26013
CA
Other
Enumeration date
09/02/2014
Last updated
01/03/2022
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