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NPI Code Detail

MEDICARE: LISA LYNNE BACHMANN MFT

MEDICARE: LISA LYNNE BACHMANN MFT
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
1106H00000XMarriage & Family TherapistLMFT44244CA

General Provider Information

NPI Number : 1316107287
Entity Type Code : Individual
Provider Name (Legal Business Name) : LISA LYNNE BACHMANN MFT
Provider Business Mailing Address
First Line : 9 CROW CANYON CT STE 100
Second Line :
City : SAN RAMON
State : CA
Zip : 94583-1682
Country : US
Telephone Number : 510-612-5914
Fax Number : 925-362-3770
Provider Business Practice Location Address
First Line : 9 CROW CANYON CT STE 100
Second Line :
City : SAN RAMON
State : CA
Zip : 94583-1682
Country : US
Telephone Number : 510-612-5914
Fax Number : 925-362-3770
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/13/2008
Last Update Date : 11/05/2018

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Directions to “ LISA LYNNE BACHMANN MFT” Practice Location

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