| Doctor Name: | MRS. LISA MARIE MAHERAS |
| NPI Number: | 1013156322 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | M.A. |
| License Number: | #2272 |
| Business Practice Address: | 177 Bovet Rd. Suite 540 San Mateo, CA - 94402 |
| Business Phone Number: | 6505735133 |
| Business Fax Number: | 6503944167 |
| Mailing Address: | 177 Bovet Rd., Suite 540 SAN MATEO |
| State: | CA |
| Postal Code: | 94402 |
| Phone Number: | 6505735133 |
| Fax Number: | 6503944167 |
| NPI Enumeration Date: | 02/10/2009 |
| NPI Last Update Date: | 02/10/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TS0200X |
| License Number: | #2272 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | School |
| Taxonomy Definition: | |