| Liz Gustafson Psychotherapy | |
|
450 N Brand Blvd Ste 600 Glendale CA 91203-2349 | |
| (323) 963-3335 | |
| Not Available |
| Full Name | Liz Gustafson Psychotherapy |
|---|---|
| Speciality | Clinic/center |
| Location | 450 N Brand Blvd Ste 600, Glendale, California |
| Authorized Official Name and Position | Elizabeth Gustafson (CLINICAL PSYCHOLOGIST, PRESIDENT) |
| Authorized Official Contact | 3239633335 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Liz Gustafson Psychotherapy 450 N Brand Blvd Ste 600 Glendale CA 91203-2349 Ph: (323) 963-3335 | Liz Gustafson Psychotherapy 450 N Brand Blvd Ste 600 Glendale CA 91203-2349 Ph: (323) 963-3335 |
| NPI Number | 1598251233 |
|---|---|
| Provider Enumeration Date | 07/05/2018 |
| Last Update Date | 07/05/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598251233 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | () | Primary |
| 261QM0850X | Clinic/center - Adult Mental Health | () | Secondary |
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | () | Secondary |
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