Individual provider · Type 1 NPI

Lisa Rosequist

Clinical Psychologist · Santa Rosa, CA

NPI number 1407042914 Active

Practice location

1260 N Dutton Ave, Suite 225
Santa Rosa, CA 95401-4659

Specialties and licenses

Taxonomy	Code	License
Clinical Psychologist Primary	103TC0700X	PSY 24622 (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 1407042914

Lisa Rosequist's National Provider Identifier is 1407042914, issued on Sep 18, 2007. The primary taxonomy on file is Clinical Psychologist (103TC0700X), and the practice location is in Santa Rosa, CA. The record was last updated on Oct 26, 2011.