MEDICARE: LISA D'ANN FREEDMAN LMFT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	106H00000X	Marriage & Family Therapist	LMFT50947	CA

General Provider Information

NPI Number	:	1497822035
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LISA D'ANN FREEDMAN LMFT

Provider Business Mailing Address
First Line	:	23000 SANTA CRUZ HWY
Second Line	:
City	:	LOS GATOS
State	:	CA
Zip	:	95033-9021
Country	:	US
Telephone Number	:	408-622-1049
Fax Number	:

Provider Business Practice Location Address
First Line	:	23000 SANTA CRUZ HWY
Second Line	:
City	:	LOS GATOS
State	:	CA
Zip	:	95033-9021
Country	:	US
Telephone Number	:	408-482-9140
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/29/2006
Last Update Date	:	07/02/2025

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