Provider Demographics
NPI:1851401137
Name:FRANKEL, LISA (MFT)
Entity Type:Individual
Prefix:DR
First Name:LISA
Middle Name:
Last Name:FRANKEL
Suffix:
Gender:F
Credentials:MFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12506 ROSE AVE
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90066-1518
Mailing Address - Country:US
Mailing Address - Phone:310-398-9385
Mailing Address - Fax:310-398-9311
Practice Address - Street 1:11850 WILSHIRE BLVD
Practice Address - Street 2:SUITE 201
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90025-6609
Practice Address - Country:US
Practice Address - Phone:310-478-6747
Practice Address - Fax:310-398-9311
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-30
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMUO13260106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist