Individual
LISA GROSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
3900 VALLEY AVE STE B, PLEASANTON, CA 94566-4871
(925) 484-8457
Mailing address
7901 OAKPORT ST STE 3400, OAKLAND, CA 94621-2038
(510) 613-0330
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
Other
Enumeration date
05/23/2007
Last updated
07/08/2007
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