Individual
DR. LISA INEZ SWEATT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
1 GRAND AVE, CAL POLY STATE UNIV.,PSYCHOLOGY & CHILD DEV. DEPARTMENT, SAN LUIS OBISPO, CA 93407-9000
(805) 756-6123
(805) 756-1134
Mailing address
1718 9TH ST, LOS OSOS, CA 93402-2225
(805) 756-6123
(805) 756-1134
Taxonomy
Speciality
Code
Description
License number
State
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
19226
CA
Other
Enumeration date
03/01/2007
Last updated
07/08/2007
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