Most Relevant Information
Provider Data
| NPI Number: | 1003048331 |
| Provider Name: | LARISSA J BATEMAN M.S., LMFT |
| Entity Type: | Individual |
| Taxonomy Code: | 106H00000X |
| Specialty: | Marriage & Family Therapist |
| License Number: | 60975 |
Most Important Dates
| Enumeration Date: | 08/20/2009 |
| Last Updated: | 02/11/2022 |
Provider Practice Location
5776 STONERIDGE MALL RD STE 140
PLEASANTON
CA
945882833
Practice Location Phone/Fax
| Phone: | 9256059662 |
| Fax: |
Provider Mailing Location
5776 STONERIDGE MALL RD STE 140
PLEASANTON
CA
945882833
Provider Mailing Phone/Fax
| Phone: | 9256059662 |
| Fax: |