Individual
DR. LISA MARIE LLITERAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
855 N EUCLID AVE, ONTARIO, CA 91762-2762
(909) 983-2020
(909) 983-6847
Mailing address
855 N EUCLID AVE, ONTARIO, CA 91762-2762
(909) 983-2020
(909) 983-6847
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
103T00000X
Psychologist
Primary
30725
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
95-1946482
—
CA
Enumeration date
05/22/2008
Last updated
04/04/2019
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