Individual
DR. LISA DEANNE WALDMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
2615 PACIFIC COAST HWY, SUITE 325, HERMOSA BEACH, CA 90254-2225
(310) 528-5550
(310) 521-6411
Mailing address
2615 PACIFIC COAST HWY, SUITE 325, HERMOSA BEACH, CA 90254-2225
(310) 528-5550
(310) 521-6411
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
PSY18493
CA
Other
Enumeration date
06/21/2013
Last updated
06/21/2013
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