Individual
DR. LISA MARIE KINOSHITA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
3801 MIRANDA AVE, MAIL CODE 151-Y, PALO ALTO, CA 94304-1207
(650) 493-5000
(650) 852-3297
Mailing address
3801 MIRANDA AVE, MAIL CODE 151-Y, PALO ALTO, CA 94304-1207
(650) 493-5000
(650) 852-3297
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
PSY21916
CA
103TC0700X
Clinical Psychologist
PSY21916
CA
Other
Enumeration date
04/04/2008
Last updated
04/04/2008
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