MEDICARE: CHRISTINA G LIPARINI PH.D., LPC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YP2500X	Professional Counselor	37PC00357500	NJ
2	103TC1900X	Counseling Psychologist	4926	NJ
3	103TC1900X	Counseling Psychologist	018713	NY

General Provider Information

NPI Number	:	1427334861
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHRISTINA G LIPARINI PH.D., LPC

Provider Business Mailing Address
First Line	:	PO BOX 322
Second Line	:
City	:	MOUNT TABOR
State	:	NJ
Zip	:	07878-0322
Country	:	US
Telephone Number	:	973-294-9047
Fax Number	:

Provider Business Practice Location Address
First Line	:	659 EAGLE ROCK AVE
Second Line	:	SUITE 4
City	:	WEST ORANGE
State	:	NJ
Zip	:	07052-2138
Country	:	US
Telephone Number	:	973-294-9047
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/31/2011
Last Update Date	:	03/14/2013

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