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

Dr. Mary J Lague, PSYCHOLOGISTPSYD

Individual provider Clinical Psychologist · NPI 1215962592

Dr. Mary J Lague, PSYCHOLOGISTPSYD is a Clinical Psychologist in Santa Rosa, California. Licensed in California. Registered with an NPI since 2006.

Licensed in
CA
In the registry since
2006

Practice location Address checks out

403 Chinn St
Santa Rosa, CA 95404-4338
Phone: (707) 575-9522
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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 PSY17928 (CA)

Record details

NPI number1215962592
Entity typeIndividual (Type 1)
GenderFemale
Credentials PSYCHOLOGISTPSYD
Sole proprietorNo
NPI enumeratedJuly 12, 2006
Last updated in NPPESDecember 30, 2021

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