Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Lisa R Grossman PHD Psychologist a Professional Corporation

Organization Psychologist · NPI 1205213485

Lisa R Grossman PHD Psychologist a Professional Corporation is a Psychologist in Santa Rosa, California. Licensed in California. Registered with an NPI since 2015.

Licensed in
CA
In the registry since
2015

Practice location Address checks out

825 College Ave
Santa Rosa, CA 95404-4108
Phone: (707) 527-0295
Fax: (707) 527-4036
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychologist (primary) Taxonomy 103T00000X · Licence PSY19121 (CA)

Record details

NPI number1205213485
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Lisa Grossman — Psychologist · (707) 527-0295
NPI enumeratedApril 27, 2015
Last updated in NPPESJune 26, 2015
Mailing address825 College Ave, Santa Rosa, CA 95404-4108

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