Individual
DR. LISA SUSANNE POWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSYCHOLOGIST
Contact information
Practice address
15235 BURBANK BLVD, SUITE B4, SHERMAN OAKS, CA 91411-3500
(818) 324-6533
Mailing address
15235 BURBANK BLVD, SUITE B4, SHERMAN OAKS, CA 91411-3500
(818) 324-6533
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PSY22286
CA
Other
Enumeration date
05/15/2012
Last updated
05/15/2012
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