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General NPI Number Information
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NPI Number | 1003442369
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Entity Type | Individual
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Provider Name | BRITTANY NICOLE LIPPERT PSY.D.
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Gender | Female
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Dates
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Enumeration Date | 03/19/2020
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Last Update Date | 10/21/2022
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Provider Practice Location Address
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Address Line | 100 N ACADEMY AVE
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City | DANVILLE
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State | PA
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Zip | 17822-9800
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Country | US
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Telephone | 570-808-3100
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Fax |
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Provider Business Mailing Address
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Address Line | 8 CHURCH ST PROFESSIONAL BUILDING 4TH FLOOR PSYCHIATRY
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City | WILKES-BARRE
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State | PA
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Zip | 18702
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 103TC2200X
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Taxonomy Name | Clinical Child & Adolescent Psychologist
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License Number | PS019632
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License Number State | PA
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