Organization
LYRA CLINICAL ASSOCIATES P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT KOCHER MD (PRESIDENT)
(800) 505-5972
Entity
Organization
Contact information
Practice address
287 LORTON AVE, BURLINGAME, CA 94010-4203
(800) 505-5972
Mailing address
287 LORTON AVE, BURLINGAME, CA 94010-4203
(800) 505-5972
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
103T00000X
Psychologist
Primary
—
—
103TH0004X
Health Psychologist
—
—
104100000X
Social Worker
—
—
106H00000X
Marriage & Family Therapist
—
—
2084P0800X
Psychiatry Physician
—
—
Other
Enumeration date
11/21/2016
Last updated
11/25/2020
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