Healthcare Provider Details

I. General information

NPI: 1558295972
Provider Name (Legal Business Name): JENNIFER LEIGH LIPPOLD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/10/2026
Last Update Date: 06/10/2026
Certification Date: 06/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

505 LEXINGTON ST
DE SOTO IL
62924-1021
US

IV. Provider business mailing address

505 LEXINGTON ST
DE SOTO IL
62924-1021
US

V. Phone/Fax

Practice location:
  • Phone: 815-908-9146
  • Fax:
Mailing address:
  • Phone: 815-908-9146
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number071.022603
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: