DOUG J LISLE

SANTA ROSA, CA
NPI1831260009
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy103TC0700X Psychologist, Clinical
(Licence: CA  PSY15448)
Enumeration Date2006-11-10
Last Update Date2008-05-01
Business Address
-- DOUG J LISLE P.H.D.
1551 PACIFIC AVE
SANTA ROSA, CA 95404-3568
Phone number: 707-586-5555
Mailing Address
-- DOUG J LISLE P.H.D.
1551 PACIFIC AVE
SANTA ROSA, CA 95404-3568
Phone number: 707-586-5555
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