| Lisa A Davidson, Phd, Apc | |
|
14015 Midland Rd Poway CA 92064-3959 | |
| (858) 672-0130 | |
| (858) 391-0499 |
| Full Name | Lisa A Davidson, Phd, Apc |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 14015 Midland Rd, Poway, California |
| Authorized Official Name and Position | Lisa A Davidson (PRESIDENT) |
| Authorized Official Contact | 8586720130 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lisa A Davidson, Phd, Apc 14015 Midland Rd Poway CA 92064-3959 Ph: (858) 672-0130 | Lisa A Davidson, Phd, Apc 14015 Midland Rd Poway CA 92064-3959 Ph: (858) 672-0130 |
| NPI Number | 1548513849 |
|---|---|
| Provider Enumeration Date | 10/24/2012 |
| Last Update Date | 10/24/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548513849 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | PSY19308 (California) | Primary |
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