Individual
DR. LISA SPORRI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
912 COLE ST # 275, SAN FRANCISCO, CA 94117-4316
(415) 264-4313
Mailing address
912 COLE ST # 275, SAN FRANCISCO, CA 94117-4316
(415) 264-4313
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
24454
CA
103TC2200X
Clinical Child & Adolescent Psychologist
24454
CA
Other
Enumeration date
06/27/2011
Last updated
09/21/2011
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