Provider Demographics
NPI:1326273715
Name:SELIGER, STEVEN G (LMFT)
Entity Type:Individual
Prefix:MR
First Name:STEVEN
Middle Name:G
Last Name:SELIGER
Suffix:
Gender:M
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1104 ASHTON AVE
Mailing Address - Street 2:SUITE 203
Mailing Address - City:SALT LAKE CITY
Mailing Address - State:UT
Mailing Address - Zip Code:84106-4504
Mailing Address - Country:US
Mailing Address - Phone:801-661-7697
Mailing Address - Fax:801-467-0660
Practice Address - Street 1:1104 ASHTON AVE
Practice Address - Street 2:SUITE 203
Practice Address - City:SALT LAKE CITY
Practice Address - State:UT
Practice Address - Zip Code:84106-4504
Practice Address - Country:US
Practice Address - Phone:801-661-7697
Practice Address - Fax:801-467-0660
Is Sole Proprietor?:Yes
Enumeration Date:2009-05-28
Last Update Date:2009-05-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT289973-3902106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist