Provider Demographics
NPI:1801014923
Name:HILGER, ELIZABETH (LISA) NORA (PSYD, LMFT)
Entity Type:Individual
Prefix:DR
First Name:ELIZABETH (LISA)
Middle Name:NORA
Last Name:HILGER
Suffix:
Gender:F
Credentials:PSYD, LMFT
Other - Prefix:DR
Other - First Name:LISA
Other - Middle Name:NORA
Other - Last Name:HILGER
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:PSYD, LMFT
Mailing Address - Street 1:595 E COLORADO BLVD.
Mailing Address - Street 2:SUITE 304
Mailing Address - City:PASADENA
Mailing Address - State:CA
Mailing Address - Zip Code:91101
Mailing Address - Country:US
Mailing Address - Phone:626-578-0558
Mailing Address - Fax:626-578-0558
Practice Address - Street 1:595 E COLORADO BLVD.
Practice Address - Street 2:SUITE 304
Practice Address - City:PASADENA
Practice Address - State:CA
Practice Address - Zip Code:91101
Practice Address - Country:US
Practice Address - Phone:626-578-0558
Practice Address - Fax:626-578-0558
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-23
Last Update Date:2019-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA29551106H00000X
CALMFT29551106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA71-0992875OtherTAX IDENTIFICATION NUMBER
CA1801014923OtherMENTAL HEALTH