Provider Demographics
NPI:1497159370
Name:LANKAMP, BARBARA (MA LMFT)
Entity Type:Individual
Prefix:
First Name:BARBARA
Middle Name:
Last Name:LANKAMP
Suffix:
Gender:F
Credentials:MA LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5661 KEITH AVE STE 105
Mailing Address - Street 2:
Mailing Address - City:OAKLAND
Mailing Address - State:CA
Mailing Address - Zip Code:94618-1815
Mailing Address - Country:US
Mailing Address - Phone:415-574-8427
Mailing Address - Fax:
Practice Address - Street 1:5661 KEITH AVE STE 105
Practice Address - Street 2:
Practice Address - City:OAKLAND
Practice Address - State:CA
Practice Address - Zip Code:94618-1815
Practice Address - Country:US
Practice Address - Phone:415-574-8427
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-10-21
Last Update Date:2024-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALMFT#86043106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist