Phillips, Lisa Kristina

Phillips, Lisa Kristina is an individual health care provider with primary practice located at 151 Kalmus Dr Ste B220 , Costa Mesa CA 92626-7957. She recently has 4 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Rehabilitation Practitioner, Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Clinical Child & Adolescent, Behavioral Health & Social Service Providers / Cognitive & Behavioral. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Phillips, Lisa Kristina can be contacted via phone (949) 675-0545.

Contact Information

Primary practice address
151 Kalmus Dr Ste B220 Costa Mesa CA 92626-7957
Phone: (949) 675-0545
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Rehabilitation Practitioner 225400000X
Behavioral Health & Social Service Providers / Clinical 103TC0700X PSY25324 California
Behavioral Health & Social Service Providers / Clinical Child & Adolescent 103TC2200X
Behavioral Health & Social Service Providers / Cognitive & Behavioral 103TB0200X

Profile Details

NPI number 1790984078
LBN Legal business name Phillips, Lisa Kristina
Credentials PH.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 16th, 2007
Last updated Aug 4th, 2013 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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