Individual
DR. AMY LISTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
8101 HIGHWAY 1 N, SAN LUIS OBISPO, CA 93409-8101
(805) 547-7900
Mailing address
PO BOX 8101, SAN LUIS OBISPO, CA 93403-8101
(805) 547-7900
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PSY18176
CA
Other
Enumeration date
09/19/2014
Last updated
09/19/2014
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