LISA BLACK

SANTA CRUZ, CA
NPI1609302678
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy103TC0700X Psychologist Clinical
(Licence: CA  PSY29110)
Enumeration Date2017-05-11
Last Update Date2023-08-22
Business Address
DR. LISA BLACK PSYD
740 FRONT ST STE 130
SANTA CRUZ, CA 95060-4536
Phone number: 318-295-8118
Mailing Address
DR. LISA BLACK PSYD
740 FRONT ST STE 130
SANTA CRUZ, CA 95060-4536
Phone number:
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