Provider Demographics
NPI:1447057815
Name:BERRIAN, LOLITA CAROL (PHD, MA, BSBA)
Entity type:Individual
Prefix:MRS
First Name:LOLITA
Middle Name:CAROL
Last Name:BERRIAN
Suffix:
Gender:
Credentials:PHD, MA, BSBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15328 W EVANS DR
Mailing Address - Street 2:
Mailing Address - City:SURPRISE
Mailing Address - State:AZ
Mailing Address - Zip Code:85379-7052
Mailing Address - Country:US
Mailing Address - Phone:480-694-9396
Mailing Address - Fax:
Practice Address - Street 1:15328 W EVANS DR
Practice Address - Street 2:
Practice Address - City:SURPRISE
Practice Address - State:AZ
Practice Address - Zip Code:85379-7052
Practice Address - Country:US
Practice Address - Phone:480-694-9396
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-02-25
Last Update Date:2025-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical