Provider Demographics
NPI:1487046215
Name:SHELAN, ALIZA (MA IN MFT)
Entity Type:Individual
Prefix:
First Name:ALIZA
Middle Name:
Last Name:SHELAN
Suffix:
Gender:F
Credentials:MA IN MFT
Other - Prefix:MISS
Other - First Name:ALIZA
Other - Middle Name:
Other - Last Name:SHELAN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MA IN MFT
Mailing Address - Street 1:3417 I ST
Mailing Address - Street 2:APT. 2
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95816-4542
Mailing Address - Country:US
Mailing Address - Phone:415-794-5010
Mailing Address - Fax:
Practice Address - Street 1:3417 I ST
Practice Address - Street 2:APT. #2
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95816-4542
Practice Address - Country:US
Practice Address - Phone:415-794-5010
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-03-03
Last Update Date:2015-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist