NPI Profile for LISA M CHENEY in STOCKTON, CA.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Intellectual & Developmental Disabilities |
103TM1800X | 62 | Psychologist, Clinical |
| NPI # | 1811749021 |
|
| Status | Active | |
| Credentials | LEP, BCBA | |
| Entity | Individual | |
| Enumeration date | 04/02/2024 | |
| Last updated | 04/02/2024 - About 2 years ago | |
| Sole proprietor 1 | Yes | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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LISA M CHENEY
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