Individual
LISA RICHARDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10201 BLUE SKY DR, IONE, CA 95640-9303
(916) 704-8374
Mailing address
PO BOX 1346, IONE, CA 95640-1346
(916) 704-8374
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
32644
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
CA
Other
Enumeration date
08/19/2014
Last updated
02/02/2022
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