Brock Anderson
Individual provider Active NPI Marriage & Family Therapist · Phoenix, AZ
NPI 1003736414 · NPPES record last updated Jul 16, 2026
Key facts
- NPI
- 1003736414
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Marriage & Family Therapist 106H00000X
- License
- LAMFT-10913 (AZ)
- Practice address
- 4505 E Chandler Blvd Ste 235
Phoenix, AZ 85048-7689 - Phone
- (480) 447-6443
- NPI assigned
- Jul 16, 2026
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | LAMFT-10913 | AZ | Yes |
Addresses
Primary practice location
4505 E Chandler Blvd Ste 235
Phoenix, AZ 85048-7689
Mailing address
4505 E Chandler Blvd Ste 235
Phoenix, AZ 85048-7689
Other providers in Phoenix, AZ
- Belinda Anderson
- Bobbie J Anderson
- Bradley B Anderson
- Brady Lee Anderson
- Brigit B Anderson
- Cassandra Skye Anderson
- Cayla Anderson
- Chawna Renee Anderson
- Cheryl Belinda Anderson
- Christine Anderson
All providers in Phoenix, AZ · Marriage & Family Therapist in Arizona
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 16, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.