Individual provider · Type 1 NPI

Heather Lilleston, PhD

Psychologist · Venice, CA

NPI number 1972484475 Active

Practice location

228 Main St Ste 2
Venice, CA 90291-5235

Mailing address

203 Flamingo Rd # 208
Mill Valley, CA 94941-3603

Specialties and licenses

TaxonomyCodeLicense
Psychologist Primary 103T00000X94027314 (CA)

Psychologist: A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustmen…

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About NPI 1972484475

Heather Lilleston, PhD's National Provider Identifier is 1972484475, issued on Sep 10, 2025. The primary taxonomy on file is Psychologist (103T00000X), and the practice location is in Venice, CA. The record was last updated on Sep 10, 2025.