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

Individual provider Clinical Psychologist · NPI 1659497600

Dr. Lisa Anita Davidson, PHD is a Clinical Psychologist in Poway, California. Qualified in 1997, 29 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in California.

Years since qualifying
29
Licensed in
CA
In the registry since
2007
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

14015 Midland Rd
Poway, CA 92064-3959
Phone: (858) 672-0130
Fax: (858) 676-0154
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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 19308 (CA)

Record details

NPI number1659497600
Entity typeIndividual (Type 1)
GenderFemale
Credentials PHD
Sole proprietorYes
NPI enumeratedMarch 21, 2007
Last updated in NPPESJanuary 11, 2016

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 1997 (29 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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