Individual provider · Type 1 NPI

Lisa Ellen Bograd, MFT

Specialist · Berkeley, CA

NPI number 1780807586 Active

Practice location

2936 Domingo Ave
Berkeley, CA 94705-2443

Call (415) 820-3920 Map

Mailing address

5928 Ascot Dr
Oakland, CA 94611-2705

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000XMFC39608 (CA)

Specialist: 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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About NPI 1780807586

Lisa Ellen Bograd, MFT's National Provider Identifier is 1780807586, issued on Apr 10, 2007. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Berkeley, CA. The record was last updated on Jul 8, 2007.