Individual
DR. LIZA JILL RAVITZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LIZA RAVITZ, PH.D
Contact information
Practice address
318 WESTERN AVE, SUITE 1, PETALUMA, CA 94952-2919
(707) 762-7828
(707) 773-1761
Mailing address
318 WESTERN AVE, SUITE 1, PETALUMA, CA 94952-2919
(707) 762-7828
(707) 773-1761
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PSY6295
CA
Other
Enumeration date
02/22/2007
Last updated
07/08/2007
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