Provider Demographics
NPI:1982814059
Name:LERMAN, ESTHER (MFT)
Entity Type:Individual
Prefix:MS
First Name:ESTHER
Middle Name:
Last Name:LERMAN
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 1:6239 COLLEGE AVE
Mailing Address - Street 2:SUITE #302
Mailing Address - City:OAKLAND
Mailing Address - State:CA
Mailing Address - Zip Code:94618-1329
Mailing Address - Country:US
Mailing Address - Phone:510-548-6241
Mailing Address - Fax:
Practice Address - Street 1:6239 COLLEGE AVE
Practice Address - Street 2:SUITE #302
Practice Address - City:OAKLAND
Practice Address - State:CA
Practice Address - Zip Code:94618-1329
Practice Address - Country:US
Practice Address - Phone:510-548-6241
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFC22591106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist