Provider Demographics
NPI:1598906851
Name:OSTERMAN, LISA DAWN (LMFT)
Entity type:Individual
Prefix:MISS
First Name:LISA
Middle Name:DAWN
Last Name:OSTERMAN
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:23201 MILL CREEK DR STE 220
Mailing Address - Street 2:
Mailing Address - City:LAGUNA HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:92653-7906
Mailing Address - Country:US
Mailing Address - Phone:888-795-4337
Mailing Address - Fax:
Practice Address - Street 1:14142 VIA LUCIO
Practice Address - Street 2:
Practice Address - City:TUSTIN
Practice Address - State:CA
Practice Address - Zip Code:92780-2029
Practice Address - Country:US
Practice Address - Phone:714-788-4023
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-03-17
Last Update Date:2024-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA53688106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist