Individual
ELIZABETH PRESTON CISNEROS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
255 E BONITA AVE DEPT OF, POMONA, CA 91767-1933
(909) 596-7733
Mailing address
14788 OAK LEAF DR, EASTVALE, CA 92880-1048
(909) 573-6415
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
PSY 24603
CA
103TC0700X
Clinical Psychologist
PSY 24603
CA
Other
Enumeration date
05/27/2009
Last updated
09/07/2023
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