Provider Demographics
NPI:1184723116
Name:TOPEL, CLIFFORD SCOTT (LMFT)
Entity type:Individual
Prefix:MR
First Name:CLIFFORD
Middle Name:SCOTT
Last Name:TOPEL
Suffix:
Gender:M
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4902 E CROCUS DR
Mailing Address - Street 2:
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85254-2822
Mailing Address - Country:US
Mailing Address - Phone:602-502-1616
Mailing Address - Fax:602-494-4190
Practice Address - Street 1:4902 E CROCUS DR
Practice Address - Street 2:
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85254-2822
Practice Address - Country:US
Practice Address - Phone:602-502-1616
Practice Address - Fax:602-494-4190
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-22
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZLMFT-0385106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ758451Medicaid