| Doctor Name: | DR. LISA F ALLEN |
| NPI Number: | 1093746273 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | P.H.D. |
| License Number: | PSY15636 |
| Business Practice Address: | 16312 Third Street Guerneville, CA - 954468303 |
| Business Phone Number: | 7078695977 |
| Business Fax Number: | 7078695976 |
| Mailing Address: | 14045 Mill St, GUERNEVILLE |
| State: | CA |
| Postal Code: | 954468303 |
| Phone Number: | 7078695977 |
| Fax Number: | 7078695976 |
| NPI Enumeration Date: | 07/05/2006 |
| NPI Last Update Date: | 03/23/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC0700X |
| License Number: | PSY15636 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | |