Individual
LISA ANN NEUSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D
Contact information
Practice address
215 W COTATI OAKS CT, COTATI, CA 94931-5116
(843) 250-0689
Mailing address
215 W COTATI OAKS CT, COTATI, CA 94931-5116
(843) 250-0689
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
3045
NC
Other
Enumeration date
07/02/2021
Last updated
07/02/2021
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