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NPI Code Detail

MEDICARE: DR. STEPHANIE LIPPMAN PSY.D.

MEDICARE:  DR. STEPHANIE  LIPPMAN  PSY.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1103TC0700XClinical PsychologistPY8639FL

General Provider Information

NPI Number : 1407283948
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. STEPHANIE LIPPMAN PSY.D.
Provider Business Mailing Address
First Line : 6803 LAKE WORTH RD STE 215
Second Line :
City : GREENACRES
State : FL
Zip : 33467-2979
Country : US
Telephone Number : 561-207-7625
Fax Number :
Provider Business Practice Location Address
First Line : 6803 LAKE WORTH RD STE 215
Second Line :
City : GREENACRES
State : FL
Zip : 33467-2979
Country : US
Telephone Number : 561-207-7625
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/30/2013
Last Update Date : 10/30/2024

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