Individual
DR. JERRY RAY LIVESAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
44750 60TH ST W, LANCASTER, CA 93536-7619
(661) 729-2000
(661) 729-2000
Mailing address
44750 60TH ST W, LANCASTER, CA 93536-7619
(661) 729-2000
(661) 729-2000
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PSY 23199
CA
Other
Enumeration date
02/20/2013
Last updated
02/20/2013
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