Lisa Russo Pettigrew, RSMT, PHD. CANDIDATE
NPI #1356128029 in Crestline, California
Provider Information
- NPI Number
- 1356128029
- Entity Type
- Individual
- Name
- Lisa Russo Pettigrew, RSMT, PHD. CANDIDATE
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Psychoanalyst
- Credential
- RSMT, PHD. CANDIDATE
- Enumeration Date
- Sep 14, 2023
- Last Updated
- Feb 6, 2025
Practice Location
- Address
- 340 S STATE HIGHWAY 138
- City
- Crestline
- State
- California
- ZIP Code
- 92325-9153
- Phone
- (909) 336-3330
Specialties & Taxonomy Codes
| Specialty |
|---|
| Community Health Worker |
| Psychoanalyst |
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