Provider Demographics
NPI:1073694931
Name:STOFFERS, LYNN (LPC)
Entity Type:Individual
Prefix:
First Name:LYNN
Middle Name:
Last Name:STOFFERS
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9260 E RAINTREE DR
Mailing Address - Street 2:STE 130
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85260-7311
Mailing Address - Country:US
Mailing Address - Phone:602-354-2577
Mailing Address - Fax:480-551-1183
Practice Address - Street 1:9260 E RAINTREE DR
Practice Address - Street 2:STE 130
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85260-7311
Practice Address - Country:US
Practice Address - Phone:602-354-2577
Practice Address - Fax:480-551-1183
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-18
Last Update Date:2014-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZLPC-10128101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional