Provider Demographics
NPI:1083831101
Name:LAPPITT, NANCY H (MA,,EDS)
Entity Type:Individual
Prefix:MRS
First Name:NANCY
Middle Name:H
Last Name:LAPPITT
Suffix:
Gender:F
Credentials:MA,,EDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7531 E CALLE CABO
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85750-2720
Mailing Address - Country:US
Mailing Address - Phone:520-886-2667
Mailing Address - Fax:
Practice Address - Street 1:1010 E. 10TH STREET
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85719-2720
Practice Address - Country:US
Practice Address - Phone:520-886-2667
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-04-19
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ1209273103TS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TS0200XBehavioral Health & Social Service ProvidersPsychologistSchool
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ592461Medicaid