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Contact Information

LISA A CLEVENGER
233 DOBBINS ST
VACAVILLE, CA95688-3931
 Phone: 707-469-4540
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Marriage & Family Therapist

106H00000X
Indicates primary specialty

NPI Profile & details for LISA A CLEVENGER · (Female)

NPI # 1013079433
Status Active
Credentials
Entity Individual
Enumeration date 12/14/2006
Last updated 05/11/2011 - About 8 years ago
Sole proprietor 1 No
Identifiers
  • CA License # 49972
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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