Individual provider · Type 1 NPI

Lisette Medina, AMFT

Clinical Psychologist · Los Angeles, CA

NPI number 1326744525 Active

Practice location

10801 National Blvd Ste 435
Los Angeles, CA 90064-4139

Mailing address

PO Box 27111
Los Angeles, CA 90027-0111

Specialties and licenses

TaxonomyCodeLicense
Clinical Psychologist Primary 103TC0700X137261 (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 1326744525

Lisette Medina, AMFT's National Provider Identifier is 1326744525, issued on Jan 31, 2023. The primary taxonomy on file is Clinical Psychologist (103TC0700X), and the practice location is in Los Angeles, CA. The record was last updated on Jan 31, 2023.