Provider Demographics
NPI:1336367648
Name:LAPILUSA, SARAH RAY (PSYD)
Entity Type:Individual
Prefix:DR
First Name:SARAH
Middle Name:RAY
Last Name:LAPILUSA
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:DR
Other - First Name:SARAH
Other - Middle Name:LYNN
Other - Last Name:RAY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PSYD
Mailing Address - Street 1:16959 BERNARDO CENTER DR STE 110
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92128-2494
Mailing Address - Country:US
Mailing Address - Phone:619-281-6414
Mailing Address - Fax:619-359-4326
Practice Address - Street 1:16959 BERNARDO CENTER DR STE 110
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92128-2494
Practice Address - Country:US
Practice Address - Phone:619-275-0822
Practice Address - Fax:619-359-4326
Is Sole Proprietor?:No
Enumeration Date:2007-04-23
Last Update Date:2024-04-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101YM0800X
CA22183103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health