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Mr. Ross Lisman JR., PHD
Clinical Psychologist in San Dimas, California
NPI 1104375419

Ross Lisman JR. is a Clinical Psychologist based in San Dimas, CA and is specialized in Clinical. Ross Lisman JR. practices in San Dimas, CA and has the professional credentials of PHD. The NPI Number for Ross Lisman JR. is 1104375419 and holds a License No. (California).

The current practice location address for Ross Lisman JR. is 304 Beechwood Ln, San Dimas, CA and can be reached out via phone at 614-205-8454.

Location: 304 Beechwood Ln, San Dimas, CA, 91773-8153
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1104375419
Provider Name
Ross Lisman JR.
Credential
PHD
Provider Entity Type
Individual
Gender
Male
Address
304 Beechwood Ln, San Dimas, CA, 91773-8153
Phone Number
614-205-8454
Fax Number
Provider Enumeration Date
09/27/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
304 Beechwood Ln
City
San Dimas
State
California
Zip
91773-3605
Phone Number
614-205-8454
Fax Number
person
Provider Business Mailing Address Details
Address
304 Beechwood Ln
City
San Dimas
State
California
Zip
91773-3605
Phone Number
614-205-8454
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Psychologist
Speciality
Clinical
Taxonomy
103TC0700X
License No.
32416 (California)
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 breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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