Individual
MIRIAM LUNDY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PMHNP
Contact information
Practice address
3031 TELEGRAPH AVE, OAKLAND, CA 94609-3205
(510) 596-8130
Mailing address
18 COWPER AVE, KENSINGTON, CA 94707-1006
(510) 316-8344
Taxonomy
Speciality
Code
Description
License number
State
103TP0016X
Prescribing (Medical) Psychologist
Primary
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
95001154
CA
Other
Enumeration date
08/03/2010
Last updated
06/30/2021
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