Individual provider · Type 1 NPI

Lisa Russo Pettigrew, RSMT, PHD. CANDIDATE

Psychoanalyst · Crestline, CA

NPI number 1356128029 Active

Practice location

340 S State Highway 138
Crestline, CA 92325-9153

Mailing address

PO Box 6300
Crestline, CA 92325-6300

Specialties and licenses

TaxonomyCodeLicense
Community Health Worker 172V00000XNone listed
Psychoanalyst Primary 102L00000XNone listed

Psychoanalyst: Psychoanalysis is a comprehensive, theoretical framework which, when applied to a treatment process, consists of an intensive verbal, therapeutic relationship between an analyst and an analysand which aims for symptom relief, emotional growth, and personal integration. The psychoanalytic treatment process includes, but is not limited to, the recognition of unconscious processes and conflicts; the significance of dev…

Another provider at this address

About NPI 1356128029

Lisa Russo Pettigrew, RSMT, PHD. CANDIDATE's National Provider Identifier is 1356128029, issued on Sep 14, 2023. The primary taxonomy on file is Psychoanalyst (102L00000X), and the practice location is in Crestline, CA. The record was last updated on Feb 6, 2025.