MEDICARE: MR. MICHAEL L LIPSTEIN MA LMFT

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	106H00000X	Marriage & Family Therapist	LF00001345	WA

General Provider Information

NPI Number	:	1871501627
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. MICHAEL L LIPSTEIN MA LMFT

Provider Business Mailing Address
First Line	:	S 820 MCCLELLAN ST
Second Line	:	SUITE 411
City	:	SPOKANE
State	:	WA
Zip	:	99204-2446
Country	:	US
Telephone Number	:	509-838-8168
Fax Number	:	509-838-8256

Provider Business Practice Location Address
First Line	:	S 820 MCCLELLAN ST
Second Line	:	SUITE 411
City	:	SPOKANE
State	:	WA
Zip	:	99204-2446
Country	:	US
Telephone Number	:	509-838-8168
Fax Number	:	509-838-8256

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

Provider Enumeration Date	:	08/04/2006
Last Update Date	:	07/08/2007

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