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General NPI Number Information
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NPI Number | 1346983582
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Entity Type | Organization
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Legal Business Name | DR MINDY BETH LIPSON PLLC
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Dates
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Enumeration Date | 04/15/2022
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Last Update Date | 05/02/2025
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Provider Practice Location Address
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Address Line | 14575 W MOUNTAIN VIEW BLVD UNIT 10307
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City | SURPRISE
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State | AZ
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Zip | 85374-8672
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Country | US
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Telephone | 646-361-5251
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Fax |
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Provider Business Mailing Address
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Address Line | 14575 W MOUNTAIN VIEW BLVD UNIT 10307
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City | SURPRISE
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State | AZ
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Zip | 85374-8672
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Country | US
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Telephone | 646-361-5251
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Fax |
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Authorized Official
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Title or Position | OWNER/PSYCHOLOGIST
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Name | DR. MINDY BETH LIPSON
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Credential |
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Telephone | 646-361-5251
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number |
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License Number State |
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