Individual
DR. LISA CONRADI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
3020 CHILDRENS WAY, MC 5131, SAN DIEGO, CA 92123-4223
(858) 576-1700
(858) 966-7524
Mailing address
137 PENNSYLVANIA AVE, APT. 4, SAN DIEGO, CA 92103-4024
(760) 522-8780
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
20651
CA
Other
Enumeration date
04/13/2011
Last updated
04/13/2011
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