Provider Demographics
NPI:1811907165
Name:ELLIOT-STAGGS, ELIZABETH (LMFT)
Entity type:Individual
Prefix:
First Name:ELIZABETH
Middle Name:
Last Name:ELLIOT-STAGGS
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:BETH
Other - Middle Name:
Other - Last Name:ELLIOTT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LMFT
Mailing Address - Street 1:PO BOX 2235
Mailing Address - Street 2:
Mailing Address - City:LOS GATOS
Mailing Address - State:CA
Mailing Address - Zip Code:95031-2235
Mailing Address - Country:US
Mailing Address - Phone:408-450-3003
Mailing Address - Fax:831-336-2018
Practice Address - Street 1:2100 CURTNER AVE
Practice Address - Street 2:STE E
Practice Address - City:SAN JOSE
Practice Address - State:CA
Practice Address - Zip Code:95124
Practice Address - Country:US
Practice Address - Phone:408-450-3003
Practice Address - Fax:831-336-2018
Is Sole Proprietor?:No
Enumeration Date:2006-08-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALMF32967106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist