Lisa Sara Polon, PSYD - Psychologist in Santa Rosa, CA

Lisa Sara Polon, PSYD is a Psychologist - Clinical based in Santa Rosa, California. Lisa Sara Polon is licensed to practice in California (license number PSY29914) and her current practice location is 3569 Round Barn Cir, Santa Rosa, California. She can be reached at her office (for appointments etc.) via phone at (707) 303-3600.

NPI number for Lisa Sara Polon is 1366879967 and her current mailing address is 3569 Round Barn Cir, Santa Rosa, California. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1366879967.

Contact Information

Lisa Sara Polon, PSYD
3569 Round Barn Cir,
Santa Rosa, CA 95403-5781
(707) 303-3600
Not Available



Healthcare Provider's Profile

Full NameLisa Sara Polon
GenderFemale
SpecialityPsychologist - Clinical
Location3569 Round Barn Cir, Santa Rosa, California
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1366879967
  • Provider Enumeration Date: 09/27/2013
  • Last Update Date: 05/29/2020

Medical Identifiers

Medical identifiers for Lisa Sara Polon such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1366879967NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103TC0700XPsychologist - Clinical PSY29914 (California)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Lisa Sara Polon is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Lisa Sara Polon, PSYD
3569 Round Barn Cir,
Santa Rosa, CA 95403-5781

Ph: (707) 303-3600
Lisa Sara Polon, PSYD
3569 Round Barn Cir,
Santa Rosa, CA 95403-5781

Ph: (707) 303-3600

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› Verified 9 days ago


Psychologist in Santa Rosa, CA

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