Healthcare Provider Details

I. General information

NPI: 1831795376
Provider Name (Legal Business Name): GILLIAN LIPARI PH.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/09/2020
Last Update Date: 12/09/2020
Certification Date: 12/09/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5584 SW 81ST LN
OCALA FL
34476-7762
US

IV. Provider business mailing address

5584 SW 81ST LN
OCALA FL
34476-7762
US

V. Phone/Fax

Practice location:
  • Phone: 561-543-7561
  • Fax:
Mailing address:
  • Phone: 561-543-7561
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TS0200X
TaxonomySchool Psychologist
License NumberSS1302
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: