Individual
DR. LISA M NAKATA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D
Contact information
Practice address
1761 BROADWAY ST STE 100, VALLEJO, CA 94589-2227
(707) 645-2700
Mailing address
1761 BROADWAY ST STE 100, VALLEJO, CA 94589-2227
(707) 645-2700
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PSY 17809
CA
Other
Enumeration date
11/29/2006
Last updated
01/03/2022
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