Provider Demographics
NPI:1326193707
Name:GALPER, LISA (PSY D)
Entity Type:Individual
Prefix:
First Name:LISA
Middle Name:
Last Name:GALPER
Suffix:
Gender:F
Credentials:PSY D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9832 N HAYDEN RD
Mailing Address - Street 2:SUITE 106
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85258-1298
Mailing Address - Country:US
Mailing Address - Phone:480-315-9311
Mailing Address - Fax:480-922-5569
Practice Address - Street 1:9832 N HAYDEN RD
Practice Address - Street 2:SUITE 106
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85258-1298
Practice Address - Country:US
Practice Address - Phone:480-315-9311
Practice Address - Fax:480-922-5569
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-24
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZAZ3343103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist