Individual
DR. ELIZABETH ESALEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
701 MISSION ST, SANTA CRUZ, CA 95060-3614
(831) 600-7103
Mailing address
208 WOODROW AVE, SANTA CRUZ, CA 95060-6416
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PSY24204
CA
Other
Enumeration date
04/25/2011
Last updated
09/03/2014
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