Lisa M Clark, LAMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

LAMFT-5810T Issued in AZ

Practice address

4955 S Alma School Rd Ste 10
Chandler, AZ 85248-5639

Phone

(480) 382-7810

NPI assigned

Aug 8, 2017

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1502150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1502150400000",
    "number": "1922523125",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 637",
            "city": "HIGLEY",
            "state": "AZ",
            "postal_code": "852360637",
            "telephone_number": "480-382-7810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4955 S ALMA SCHOOL RD STE 10",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852485639",
            "telephone_number": "480-382-7810"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLARK",
        "first_name": "LISA",
        "middle_name": "M",
        "name_prefix": "Mrs.",
        "credential": "LAMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-08",
        "last_updated": "2017-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "AZ",
            "license": "LAMFT-5810T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chantelle Marie Clarizio, OD
• Clarence E. Clark, MD
• Craig G. Clark, RPH
• Gunnar C Clark, MD
• Laurie Kathleen Clark, RDH
• Lynn Forsyth Clark, RN BA
• Melissa A Clark, OT, CHT
• Ryan Roy Clark, MS
• Sandra Clark, FP
• Sonja Clark, RN

• Marriage & Family Therapist in Chandler, AZ
• Providers in Chandler, AZ by specialty
• Marriage & Family Therapist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.