ROBERT D. LISOTA

IDAHO FALLS, ID
NPI1316175862
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy103TC0700X Psychologist, Clinical
(Licence: ID  PSY202807)
Enumeration Date2009-06-23
Last Update Date2025-05-30
Business Address
ROBERT D. LISOTA Ph.D.
725 S WOODRUFF AVE STE 101
IDAHO FALLS, ID 83401-5286
Phone number: 208-346-7500
Mailing Address
ROBERT D. LISOTA Ph.D.
725 S WOODRUFF AVE STE 101
IDAHO FALLS, ID 83401-5286
Phone number: 208-346-7500