Marion Elizabeth Anderson, LMFT
Individual provider Active NPI Marriage & Family Therapist · Prescott, AZ
NPI 1396928107 · NPPES record last updated Dec 14, 2007
Key facts
- NPI
- 1396928107
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Marriage & Family Therapist 106H00000X
- License
- LMFT10201 (AZ)
- Practice address
- 812 Valley St
Prescott, AZ 86305-1826 - Phone
- (928) 771-0087
- NPI assigned
- Dec 14, 2007
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LMFT10201 | AZ | MD | Marriage & Family Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | LMFT10201 | AZ | Yes |
Addresses
Primary practice location
812 Valley St
Prescott, AZ 86305-1826
Mailing address
812 Valley St
Prescott, AZ 86305-1826
Phone (928) 771-0087
Other providers in Prescott, AZ
- Brent Cameron Anderson
- Daniel Arthur Anderson
- Harold Anderson
- Joyce Anderson
- Larry Dean Anderson
- Mary Elizabeth Anderson
- Russell A. Anderson
- Sabrina E Anderson
- Ljudevit Andres
- Cameron D Andrew
All providers in Prescott, 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 Dec 14, 2007. 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.