Individual
MRS. LISA MARIE MAHERAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A.
Contact information
Practice address
177 BOVET RD., SUITE 540, SAN MATEO, CA 94402
(650) 573-5133
(650) 394-4167
Mailing address
177 BOVET RD., SUITE 540, SAN MATEO, CA 94402
(650) 573-5133
(650) 394-4167
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
#2272
CA
Other
Enumeration date
02/10/2009
Last updated
02/10/2009
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