MEDICARE: ELIZABETH ANNE TODD 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	IMF48921	CA
2	106H00000X	Marriage & Family Therapist	49039	CA

General Provider Information

NPI Number	:	1922126119
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ELIZABETH ANNE TODD LMFT

Provider Business Mailing Address
First Line	:	1560 E CHEVY CHASE DR STE 130
Second Line	:
City	:	GLENDALE
State	:	CA
Zip	:	91206-4140
Country	:	US
Telephone Number	:	858-279-1223
Fax Number	:

Provider Business Practice Location Address
First Line	:	1560 E CHEVY CHASE DR STE 130
Second Line	:
City	:	GLENDALE
State	:	CA
Zip	:	91206-4140
Country	:	US
Telephone Number	:	858-279-1223
Fax Number	:

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

Provider Enumeration Date	:	03/26/2007
Last Update Date	:	06/09/2026

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