Lisa Fessenmeyer
Licensed Psychiatric Technician in Redwood City, CA. Individual provider (NPI-1).
NPI number1205167004
StatusActive
Last updated in NPPESJan 19, 2010
Details
- NPI
- 1205167004
- Entity type
- Individual (NPI-1)
- Name
- Ms. Lisa Fessenmeyer
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jan 19, 2010
- Last updated
- Jan 19, 2010
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 167G00000X | Licensed Psychiatric Technician | PT31061 | CA | Yes |
Practice location
855 Veterans BlvdRedwood City, CA 94063-1712
Phone 650-817-9070 · Fax 650-246-3838
Mailing address
215 Silvera StMilpitas, CA 95035-4101
Phone 650-817-9070 · Fax 650-246-3838
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