LISA DIANNE CONNELLY MA NPI 1952572620

NPI Information

NPI: 1952572620
Provider Name: LISA DIANNE CONNELLY, MA
Classification: Counselor - 101YP2500X
Entity Type: Individual

Specialization: Professional

Address:
7254 E SOUTHERN AVE
SUITE 123
MESA, AZ
ZIP 85209
Phone: (480) 495-5356
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Lisa Dianne Connelly, MA is a professional counselor in Mesa, AZ. Lisa Dianne Connelly, MA NPI is 1952572620. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

7254 E SOUTHERN AVE
SUITE 123
MESA, AZ
ZIP 85209-786
Phone: (480) 495-5356

The enumeration date for this NPI number is 3/20/2008 and was last updated on 2/7/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YP2500X	Counselor	Professional	LPC12225	ARIZONA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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