Provider Demographics
NPI:1073685046
Name:KAY, LISA S (LISA KAY, PSYD)
Entity Type:Individual
Prefix:DR
First Name:LISA
Middle Name:S
Last Name:KAY
Suffix:
Gender:F
Credentials:LISA KAY, PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:130 S EUCLID AVE
Mailing Address - Street 2:SUITE 1
Mailing Address - City:PASADENA
Mailing Address - State:CA
Mailing Address - Zip Code:91101-2446
Mailing Address - Country:US
Mailing Address - Phone:310-285-9656
Mailing Address - Fax:
Practice Address - Street 1:130 S EUCLID AVE
Practice Address - Street 2:SUITE 1
Practice Address - City:PASADENA
Practice Address - State:CA
Practice Address - Zip Code:91101-2446
Practice Address - Country:US
Practice Address - Phone:310-285-9656
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPSY15567103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical