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

Individual provider Psychologist · NPI 1033233952

Dr. Lisa Staab Shadburn, PSYD is a Psychologist in South Pasadena, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2007
Specialties on file
4
What do these letters mean?
PSYD — Doctor of Psychology
A doctoral psychologist trained primarily for clinical practice.

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Practice location Address checks out

630 Mission St Ste C2
South Pasadena, CA 91030-3058
Phone: (626) 403-3040
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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 PSY17173 (CA)
Psychologist Taxonomy 103T00000X · Licence PSY17173 (CA)
Counseling Psychologist Taxonomy 103TC1900X · Licence PSY17173 (CA)
Clinical Child & Adolescent Psychologist Taxonomy 103TC2200X · Licence PSY17173 (CA)

Record details

NPI number1033233952
Entity typeIndividual (Type 1)
GenderFemale
Credentials PSYD
Sole proprietorYes
NPI enumeratedMarch 17, 2007
Last updated in NPPESMarch 24, 2010

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