MEDICARE: DR. SHEILAH LYNN SULLIGER PH.D., 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	30530	CA

General Provider Information

NPI Number	:	1487797403
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SHEILAH LYNN SULLIGER PH.D., LMFT

Provider Business Mailing Address
First Line	:	12215 TELEGRAPH RD STE 107
Second Line	:
City	:	SANTA FE SPRINGS
State	:	CA
Zip	:	90670-3344
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	12215 TELEGRAPH RD STE 107
Second Line	:
City	:	SANTA FE SPRINGS
State	:	CA
Zip	:	90670-3344
Country	:	US
Telephone Number	:	925-282-1778
Fax Number	:

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

Provider Enumeration Date	:	02/15/2007
Last Update Date	:	01/11/2026

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