Individual provider · Type 1 NPI
Ross Lisman Jr., PhD
Clinical Psychologist · San Dimas, CA
Practice location
304 Beechwood Ln
San Dimas, CA 91773-3605
Mailing address
PO Box 4153
San Dimas, CA 91773-8153
Other practice locations
- 180 N Oakland Ave, Pasadena, CA 91101-1714 · (626) 584-5555
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | None listed |
| Clinical Psychologist Primary | 103TC0700X | 32416 (CA) |
Clinical Psychologist: 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 discip…
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About NPI 1104375419
Ross Lisman Jr., PhD's National Provider Identifier is 1104375419, issued on Sep 27, 2016. The primary taxonomy on file is Clinical Psychologist (103TC0700X), and the practice location is in San Dimas, CA. The record was last updated on Dec 21, 2022.