Individual
DR. LISA BURKLUND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
1 HARBOR DR STE 300, SAUSALITO, CA 94965-1434
(310) 351-4474
Mailing address
PO BOX 4370, SAN RAFAEL, CA 94913-4370
(310) 351-4474
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PSY 27496
CA
Other
Enumeration date
09/22/2016
Last updated
06/21/2024
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