Individual
LISA M ALLEN
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
220 CALIFORNIA DR, C/O MEDICAL STAFF OFFICE, YOUNTVILLE, CA 94599-1412
(707) 944-4716
(707) 944-5052
Mailing address
PO BOX 942895, SACRAMENTO, CA 94295-0001
(916) 653-0080
(916) 653-1795
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PSY 18326
CA
Other
Enumeration date
02/23/2006
Last updated
07/08/2007
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