Individual
DR. LISA DE LA RUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
2350 TURK BLVD, SAN FRANCISCO, CA 94118-4340
(669) 295-5411
Mailing address
2130 FULTON ST, SAN FRANCISCO, CA 94117-1080
(669) 295-5411
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
103T00000X
Psychologist
Primary
35884
CA
103TC1900X
Counseling Psychologist
94026472
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
02/22/2007
Last updated
05/30/2025
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