Grossman, Lisa R.

Grossman, Lisa R. is an individual health care provider with primary practice located at 825 College Ave , Santa Rosa CA 95404-4108. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Grossman, Lisa R. can be contacted via phone (707) 539-1355.

Contact Information

Primary practice address
825 College Ave Santa Rosa CA 95404-4108
Phone: (707) 539-1355
Fax: (707) 539-1355
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X PSY19121 California

Profile Details

NPI number 1215994199
LBN Legal business name Grossman, Lisa R.
Credentials PH.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 26th, 2006
Last updated Jul 8th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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