Lisa Lavaysse, PSY.D

NPI 1144549916 · on the registry since 2010 · sole proprietor

Practice

Address: 205 E 3rd Ave
Mezzanine 1-A
San Mateo, CA 94401
Phone: (650) 576-3017
Organisation at this address: Dr. Virginia Hernly
Spring Tide Natural Health
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 31

Registry record

Primary taxonomy: 103TC2200X
103TC2200X
Also registered as: 103TC0700X
Licence states on file: CA
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2010-05-19

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California