Provider Demographics
NPI:1255004347
Name:POPE, LEZAH ELIZABETH LOVE (AMFT)
Entity Type:Individual
Prefix:
First Name:LEZAH
Middle Name:ELIZABETH LOVE
Last Name:POPE
Suffix:
Gender:F
Credentials:AMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2114 BLUFFS DR
Mailing Address - Street 2:
Mailing Address - City:LIVERMORE
Mailing Address - State:CA
Mailing Address - Zip Code:94551-7717
Mailing Address - Country:US
Mailing Address - Phone:925-784-7471
Mailing Address - Fax:
Practice Address - Street 1:2114 BLUFFS DR
Practice Address - Street 2:
Practice Address - City:LIVERMORE
Practice Address - State:CA
Practice Address - Zip Code:94551-7717
Practice Address - Country:US
Practice Address - Phone:925-784-7471
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-07-26
Last Update Date:2021-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist