Lisa Petronis is a Clinical in San Diego, California. Lisa Petronis practices all healthcare services and medical treatments related to Clinical. The NPI Number for Lisa Petronis is 1447463377. The last update date is 2016-01-05.
Lisa Petronis's current location address is 9666 Businesspark Ave Ste 101, San Diego, California. You can contact this provider via phone number 8585662771. The mailing address for Lisa Petronis is 9666 Businesspark Ave Ste 101, San Diego, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Lisa Petronis |
|---|---|
| Address | 9666 Businesspark Ave Ste 101, San Diego, California |
| Phone Number | 8585662771 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | PHD, MA, L |
NPI Number Detail
| NPI Number | 1447463377 |
|---|---|
| Provider Enumeration Date | 2007-05-07 |
| Last Updated Date | 2016-01-05 |
Provider Mailing Address Detail
| Address | 9666 Businesspark Ave Ste 101 |
|---|---|
| City | San Diego |
| State | California (CA) |
| Post Code | 921311646 |
| Phone Number | 8585662771 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | PSY27930 |
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Definition: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in |
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Post Comment/ Review Below
What is the unique identifier code issued to Lisa Petronis by the Centers for Medicare & Medicaid Services (CMS)?
The Lisa Petronis has been assigned the NPI (National Provider Identifier) 1447463377. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please share the complete physical location address where Lisa Petronis's facilities are situated?
The facilities of Lisa Petronis are physically located at the following address: 9666 Businesspark Ave Ste 101, San Diego, CA, 921311646.
What is the Lisa Petronis's area of specialization and corresponding taxonomy classification?
The Lisa Petronis's specialty field is Clinical, and it falls under the taxonomy code 103Tc0700X, which categorizes healthcare providers based on their specialties.
On what date did Lisa Petronis receive its 1447463377 assignment from the Centers for Medicare & Medicaid Services?
The Lisa Petronis was assigned its 1447463377 on 2007-05-07, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information regarding Lisa Petronis, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Lisa Petronis, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2016-01-05.