Lisa a Davidson, Phd, Apc

NPI #1548513849 in Poway, California

Provider Information

NPI Number: 1548513849
Entity Type: Organization
Organization Name: Lisa a Davidson, Phd, Apc
Primary Specialty: Psychologist - Clinical
Enumeration Date: Oct 24, 2012
Last Updated: Oct 24, 2012

Practice Location

Address: 14015 MIDLAND RD
City: Poway
State: California
ZIP Code: 92064-3959
Phone: (858) 672-0130

Authorized Official

Name: DR. LISA A DAVIDSON, PHD
Title: PRESIDENT
Phone: (858) 672-0130

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychologist - Clinical — Clinical	103TC0700X	Primary

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