Provider Demographics
NPI:1467884924
Name:SELZER-LANG, ELIZABETH (LIZ) ANN (MA, LMFT)
Entity Type:Individual
Prefix:MS
First Name:ELIZABETH (LIZ)
Middle Name:ANN
Last Name:SELZER-LANG
Suffix:
Gender:F
Credentials:MA, LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8665 WILSHIRE BLVD STE 220
Mailing Address - Street 2:
Mailing Address - City:BEVERLY HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:90211-2931
Mailing Address - Country:US
Mailing Address - Phone:310-995-3228
Mailing Address - Fax:
Practice Address - Street 1:8665 WILSHIRE BLVD STE 220
Practice Address - Street 2:
Practice Address - City:BEVERLY HILLS
Practice Address - State:CA
Practice Address - Zip Code:90211-2931
Practice Address - Country:US
Practice Address - Phone:310-995-3228
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-08-06
Last Update Date:2013-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA53198106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist