Individual
DR. DENISE MORIN LICHTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
PO BOX 1032, BENICIA, CA 94510-4032
(707) 561-2805
Mailing address
PO BOX 1032, BENICIA, CA 94510-4032
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY20525
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
586396
—
CA
Enumeration date
01/17/2007
Last updated
08/30/2024
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