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

Individual provider Clinical Psychologist · NPI 1831260009

Doug J Lisle, PHD is a Clinical Psychologist in Santa Rosa, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2006
What do these letters mean?
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

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Practice location Address checks out

1551 Pacific Ave
Santa Rosa, CA 95404-3568
Phone: (707) 586-5555
Fax: (707) 303-4377
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence PSY15448 (CA)

Record details

NPI number1831260009
Entity typeIndividual (Type 1)
GenderMale
Credentials PHD
Sole proprietorYes
NPI enumeratedNovember 10, 2006
Last updated in NPPESMay 1, 2008

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