Provider Demographics
NPI:1902468788
Name:BEGAY, LISAJANN (PMSW)
Entity Type:Individual
Prefix:
First Name:LISAJANN
Middle Name:
Last Name:BEGAY
Suffix:
Gender:F
Credentials:PMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 487
Mailing Address - Street 2:
Mailing Address - City:KAYENTA
Mailing Address - State:AZ
Mailing Address - Zip Code:86033-0487
Mailing Address - Country:US
Mailing Address - Phone:928-697-5570
Mailing Address - Fax:928-697-5574
Practice Address - Street 1:HWY 394.3 US-160
Practice Address - Street 2:
Practice Address - City:KAYENTA
Practice Address - State:AZ
Practice Address - Zip Code:86033
Practice Address - Country:US
Practice Address - Phone:928-697-5570
Practice Address - Fax:928-697-5574
Is Sole Proprietor?:No
Enumeration Date:2019-07-02
Last Update Date:2019-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical