MEDICARE: ELIZABETH K. SEITZ LCSW,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	003286	TX

General Provider Information

NPI Number	:	1174731269
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ELIZABETH K. SEITZ LCSW,LMFT

Provider Business Mailing Address
First Line	:	1807 LEXINGTON ST
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77098-4303
Country	:	US
Telephone Number	:	713-523-4477
Fax Number	:

Provider Business Practice Location Address
First Line	:	1807 LEXINGTON ST
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77098-4303
Country	:	US
Telephone Number	:	713-523-4477
Fax Number	:

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

Provider Enumeration Date	:	05/20/2007
Last Update Date	:	09/15/2013

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