Effendi, Lisa

Effendi, Lisa is an sole proprietor health care provider with primary practice located at 1820 E Ray Rd Ste A209 , Chandler AZ 85225-8720. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Effendi, Lisa can be contacted via phone (480) 654-0992.

Contact Information

Primary practice address
1820 E Ray Rd Ste A209 Chandler AZ 85225-8720
Phone: (480) 654-0992
Fax: (480) 245-4398
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X
Behavioral Health & Social Service Providers / Professional 101YP2500X LPC 12499 Arizona

Profile Details

NPI number 1437203239
LBN Legal business name Effendi, Lisa
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 22nd, 2007
Last updated Apr 21st, 2020 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1437203239 NPPES
Arizona MEDICAID 169725

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