Provider Demographics
NPI:1356685051
Name:TOPP, LISA
Entity Type:Individual
Prefix:
First Name:LISA
Middle Name:
Last Name:TOPP
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17547 VENTURA BLVD
Mailing Address - Street 2:SUITE 304
Mailing Address - City:ENCINO
Mailing Address - State:CA
Mailing Address - Zip Code:91316-3457
Mailing Address - Country:US
Mailing Address - Phone:310-709-2885
Mailing Address - Fax:
Practice Address - Street 1:17547 VENTURA BLVD
Practice Address - Street 2:SUITE 304
Practice Address - City:ENCINO
Practice Address - State:CA
Practice Address - Zip Code:91316-3853
Practice Address - Country:US
Practice Address - Phone:310-709-2885
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-11-19
Last Update Date:2014-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst