Individual
LISA WARNER
Active
Individual
LISA WARNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD
Taxonomy
Speciality
Code
Description
License number
State
103TB0200X
Cognitive & Behavioral Psychologist
PY00002371
WA
103TC0700X
Clinical Psychologist
00002371
WA
103TC0700X
Clinical Psychologist
Primary
PY00002371
WA
103TF0000X
Family Psychologist
PY00002371
WA
103TP2701X
Group Psychotherapy Psychologist
PY00002371
WA
103TR0400X
Rehabilitation Psychologist
PY00002371
WA
Other
Enumeration date
12/19/2007
Last updated
02/21/2019
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