Healthcare Provider Details

I. General information

NPI: 1316089956
Provider Name (Legal Business Name): HEATHER L ENGLISH LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/12/2007
Last Update Date: 09/04/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4535 S LAKESHORE DR STE 1A
TEMPE AZ
85282-7046
US

IV. Provider business mailing address

9155 N 107TH ST
SCOTTSDALE AZ
85258-6108
US

V. Phone/Fax

Practice location:
  • Phone: 480-530-7371
  • Fax:
Mailing address:
  • Phone: 480-530-7371
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberLCSW-10306
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: