Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Elizabeth Basulto

Individual provider Marriage & Family Therapist · NPI 1265948087

Elizabeth Basulto is a Marriage & Family Therapist in Riverside, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2017

Practice location Address checks out

9771 Indiana Ave
Riverside, CA 92503-5560
Phone: (951) 552-7522
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Marriage & Family Therapist (primary) Taxonomy 106H00000X · Licence LMFT155125 (CA)

Record details

NPI number1265948087
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedDecember 15, 2017
Last updated in NPPESMay 16, 2025
Certification dateMay 16, 2025
Mailing address9771 Indiana Ave, Riverside, CA 92503-5560

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