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Lisa Ellen Bograd, MFT
Specialist in Berkeley, California
NPI 1780807586

Lisa Ellen Bograd is a Specialist based in Oakland, CA. Lisa Ellen Bograd practices in Berkeley, CA and has the professional credentials of MFT. The NPI Number for Lisa Ellen Bograd is 1780807586 and holds a License No. MFC39608 (California).

The current practice location address for Lisa Ellen Bograd is 2936 Domingo Ave, Berkeley, CA and can be reached out via phone at 415-820-3920.

Location: 2936 Domingo Ave, Berkeley, CA, 94611-2705
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1780807586
Provider Name
Lisa Ellen Bograd
Credential
MFT
Provider Entity Type
Individual
Gender
Female
Address
2936 Domingo Ave, Berkeley, CA, 94611-2705
Phone Number
415-820-3920
Fax Number
Provider Enumeration Date
04/10/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
2936 Domingo Ave
City
Berkeley
State
California
Zip
94705-2443
Phone Number
415-820-3920
Fax Number
person
Provider Business Mailing Address Details
Address
2936 Domingo Ave
City
Berkeley
State
California
Zip
94705-2443
Phone Number
415-820-3920
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
MFC39608 (California)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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