Doug J Lisle, PHD - Psychologist in Santa Rosa, CA

Doug J Lisle, PHD is a Psychologist - Clinical based in Santa Rosa, California. Doug J Lisle is licensed to practice in California (license number PSY15448) and his current practice location is 1551 Pacific Ave, Santa Rosa, California. He can be reached at his office (for appointments etc.) via phone at (707) 586-5555.

NPI number for Doug J Lisle is 1831260009 and his current mailing address is 1551 Pacific Ave, Santa Rosa, California. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1831260009.

Contact Information

Doug J Lisle, PHD
1551 Pacific Ave,
Santa Rosa, CA 95404-3568
(707) 586-5555
(707) 303-4377

Map and Direction




Healthcare Provider's Profile

Full NameDoug J Lisle
GenderMale
SpecialityPsychologist - Clinical
Location1551 Pacific Ave, Santa Rosa, California
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1831260009
  • Provider Enumeration Date: 11/10/2006
  • Last Update Date: 05/01/2008

Medical Identifiers

Medical identifiers for Doug J Lisle such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1831260009NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103TC0700XPsychologist - Clinical PSY15448 (California)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Doug J Lisle is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Doug J Lisle, PHD
1551 Pacific Ave,
Santa Rosa, CA 95404-3568

Ph: (707) 586-5555
Doug J Lisle, PHD
1551 Pacific Ave,
Santa Rosa, CA 95404-3568

Ph: (707) 586-5555

Reviews and Comments


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