Healthcare Provider Details

I. General information

NPI: 1306067343
Provider Name (Legal Business Name): JOSEPH LIPARI PH.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/01/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

311 ALBERT SABIN WAY
CINCINNATI OH
45219
US

IV. Provider business mailing address

3220 ASHWOOD DRIVE
CINCINNATI OH
45213
US

V. Phone/Fax

Practice location:
  • Phone: 513-558-5801
  • Fax:
Mailing address:
  • Phone: 513-531-1713
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number4762
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: