Provider Demographics
NPI:1265485908
Name:ENDLICH, LILI (MFT, PHD)
Entity Type:Individual
Prefix:DR
First Name:LILI
Middle Name:
Last Name:ENDLICH
Suffix:
Gender:F
Credentials:MFT, PHD
Other - Prefix:DR
Other - First Name:LILIANE
Other - Middle Name:GURWITH
Other - Last Name:ENDLICH
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MFT, PHD
Mailing Address - Street 1:3901 KINGSWOOD RD
Mailing Address - Street 2:
Mailing Address - City:SHERMAN OAKS
Mailing Address - State:CA
Mailing Address - Zip Code:91403-5030
Mailing Address - Country:US
Mailing Address - Phone:818-783-2004
Mailing Address - Fax:
Practice Address - Street 1:3901 KINGSWOOD RD
Practice Address - Street 2:
Practice Address - City:SHERMAN OAKS
Practice Address - State:CA
Practice Address - Zip Code:91403-5030
Practice Address - Country:US
Practice Address - Phone:818-783-2004
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA13237106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist