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

Selby Blum, MA, AMFT

Individual provider Marriage & Family Therapist · NPI 1770454209

Selby Blum, MA, AMFT is a Marriage & Family Therapist in Los Angeles, California. Licensed in California. Registered with an NPI since 2025.

Licensed in
CA
In the registry since
2025
What do these letters mean?
MA — Master of Arts
A graduate arts degree.

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Practice location Address checks out

12011 San Vicente Blvd
Los Angeles, CA 90049-4926
Phone: (310) 564-6466
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Marriage & Family Therapist (primary) Taxonomy 106H00000X · Licence 150105 (CA)

Record details

NPI number1770454209
Entity typeIndividual (Type 1)
GenderFemale
Credentials MA , AMFT
Sole proprietorNo
NPI enumeratedSeptember 17, 2025
Last updated in NPPESSeptember 17, 2025
Certification dateSeptember 17, 2025

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