Provider Demographics
NPI:1841561289
Name:LUMBARD, RAYNA (LMFT)
Entity Type:Individual
Prefix:
First Name:RAYNA
Middle Name:
Last Name:LUMBARD
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 1:16445 MOZART WAY
Mailing Address - Street 2:
Mailing Address - City:LOS GATOS
Mailing Address - State:CA
Mailing Address - Zip Code:95032-1912
Mailing Address - Country:US
Mailing Address - Phone:408-358-3756
Mailing Address - Fax:408-358-3701
Practice Address - Street 1:20688 FOURTH ST.
Practice Address - Street 2:SUITE 8
Practice Address - City:SARATOGA
Practice Address - State:CA
Practice Address - Zip Code:95070-5894
Practice Address - Country:US
Practice Address - Phone:408-358-3756
Practice Address - Fax:408-358-3701
Is Sole Proprietor?:Yes
Enumeration Date:2012-01-17
Last Update Date:2012-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFC23487106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist