Provider Demographics
NPI:1437211190
Name:TOVEG, LYNN (LMFT)
Entity Type:Individual
Prefix:MS
First Name:LYNN
Middle Name:
Last Name:TOVEG
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:MS
Other - First Name:ALEGRA
Other - Middle Name:LYNN
Other - Last Name:TOVEG
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:4 DIABLO CT
Mailing Address - Street 2:
Mailing Address - City:NOVATO
Mailing Address - State:CA
Mailing Address - Zip Code:94947-3908
Mailing Address - Country:US
Mailing Address - Phone:415-898-3247
Mailing Address - Fax:707-553-5820
Practice Address - Street 1:3737 SONOMA BLVD
Practice Address - Street 2:
Practice Address - City:VALLEJO
Practice Address - State:CA
Practice Address - Zip Code:94589-2201
Practice Address - Country:US
Practice Address - Phone:707-553-5820
Practice Address - Fax:707-553-5824
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFC32366106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist