Staab Shadburn, Lisa

Staab Shadburn, Lisa is an sole proprietor health care provider with primary practice located at 630 Mission St Suite C2, South Pasadena CA 91030-3058. She recently has 4 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Counseling, Behavioral Health & Social Service Providers / Clinical Child & Adolescent, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Staab Shadburn, Lisa can be contacted via phone (626) 403-3040.

Contact Information

Primary practice address
630 Mission St Suite C2 South Pasadena CA 91030-3058
Phone: (626) 403-3040
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X PSY17173 California
Behavioral Health & Social Service Providers / Counseling 103TC1900X PSY17173 California
Behavioral Health & Social Service Providers / Clinical Child & Adolescent 103TC2200X PSY17173 California
Behavioral Health & Social Service Providers / Clinical 103TC0700X PSY17173 California

Profile Details

NPI number 1033233952
LBN Legal business name Staab Shadburn, Lisa
Credentials PSY.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 17th, 2007
Last updated Mar 24th, 2010 - about 14 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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