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General NPI Number Information
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NPI Number | 1700046125
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Entity Type | Organization
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Legal Business Name | THOMAS S. LIPSITZ, PH.D., INC.
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Dates
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Enumeration Date | 06/10/2008
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Last Update Date | 06/10/2008
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Provider Practice Location Address
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Address Line | 777 CRAIG RD STE 120
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City | CREVE COEUR
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State | MO
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Zip | 63141-7133
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Country | US
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Telephone | 314-997-6463
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Fax | 314-997-4423
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Provider Business Mailing Address
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Address Line | 777 CRAIG RD STE 120
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City | CREVE COEUR
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State | MO
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Zip | 63141-7133
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Country | US
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Telephone | 314-997-6463
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Fax | 314-997-4423
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. THOMAS S. LIPSITZ
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Credential | PH.D.
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Telephone | 314-997-6463
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number | 00637
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License Number State | MO
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