Robert D. Lisota, PH.D.
NPI #1316175862 in Idaho Falls, Idaho
Provider Information
- NPI Number
- 1316175862
- Entity Type
- Individual
- Name
- Robert D. Lisota, PH.D.
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Psychologist - Clinical
- Credential
- PH.D.
- Enumeration Date
- Jun 23, 2009
- Last Updated
- May 30, 2025
Practice Location
- Address
- 725 S WOODRUFF AVE STE 101
- City
- Idaho Falls
- State
- Idaho
- ZIP Code
- 83401-5286
- Phone
- (208) 346-7500
Specialties & Taxonomy Codes
| Specialty |
|---|
| Psychologist - Clinical — Clinical |
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