Healthcare Provider Details

I. General information

NPI: 1588986855
Provider Name (Legal Business Name): LILA M. ESLINGER PHD; LMFT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: LILA MARIE SUMPTER MFTINTERN

II. Dates (important events)

Enumeration Date: 02/26/2010
Last Update Date: 10/25/2024
Certification Date: 10/25/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

480 E 13TH ST
MERCED CA
95341-6214
US

IV. Provider business mailing address

242 I ST STE 2
LOS BANOS CA
93635-4125
US

V. Phone/Fax

Practice location:
  • Phone: 209-993-4995
  • Fax:
Mailing address:
  • Phone: 209-993-4995
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number52737
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: