MEDICARE: MS. SUSAN SEEGER LMFT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	106H00000X	Marriage & Family Therapist	MFC-45400	CA

General Provider Information

NPI Number	:	1447068549
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. SUSAN SEEGER LMFT

Provider Business Mailing Address
First Line	:	14007 MARGATE STREET
Second Line	:
City	:	SHERMAN OAKS
State	:	CA
Zip	:	91401-5748
Country	:	US
Telephone Number	:	818-216-0231
Fax Number	:

Provider Business Practice Location Address
First Line	:	14007 MARGATE STREET
Second Line	:
City	:	SHERMAN OAKS
State	:	CA
Zip	:	91401-5748
Country	:	US
Telephone Number	:	818-216-0231
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/20/2024
Last Update Date	:	12/20/2024

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