Provider Demographics
NPI:1316966856
Name:SPRINGER, DAVID CARL (MC,LPC)
Entity type:Individual
Prefix:MR
First Name:DAVID
Middle Name:CARL
Last Name:SPRINGER
Suffix:
Gender:M
Credentials:MC,LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5218 S 47TH PL
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85040-4121
Mailing Address - Country:US
Mailing Address - Phone:602-670-3261
Mailing Address - Fax:602-431-2231
Practice Address - Street 1:3740 E SOUTHERN AVE
Practice Address - Street 2:SUITE 110
Practice Address - City:MESA
Practice Address - State:AZ
Practice Address - Zip Code:85206-2567
Practice Address - Country:US
Practice Address - Phone:602-670-3261
Practice Address - Fax:602-431-2231
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZLPC-0839101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health