Provider Demographics
NPI:1497822035
Name:FREEDMAN, LISA D'ANN (LMFT)
Entity Type:Individual
Prefix:
First Name:LISA
Middle Name:D'ANN
Last Name:FREEDMAN
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15045 STRATFORD DR
Mailing Address - Street 2:
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95124-2728
Mailing Address - Country:US
Mailing Address - Phone:408-482-9140
Mailing Address - Fax:
Practice Address - Street 1:7877 WREN AVE STE A
Practice Address - Street 2:
Practice Address - City:GILROY
Practice Address - State:CA
Practice Address - Zip Code:95020-4980
Practice Address - Country:US
Practice Address - Phone:408-848-6511
Practice Address - Fax:408-842-2099
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-29
Last Update Date:2013-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health