Individual
DR. AMY ELIZABETH LANSING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
UNIVERSITY OF CALIFORNIA, SAN DIEGO, 9500 GILMAN DRIVE MC 0949, LA JOLLA, CA 92093-0949
(858) 534-4102
(858) 534-4114
Mailing address
UNIVERSITY OF CALIFORNIA, SAN DIEGO, 9500 GILMAN DRIVE MC 0949, LA JOLLA, CA 92093-0949
(858) 534-4102
(858) 534-4114
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY17662
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PSY17662
PSYCHOLOGIST LICENSE
CA
Enumeration date
10/03/2006
Last updated
07/08/2007
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