MEDICARE: LYNN P. ZIPOY PHD, LPC

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
1	101YP2500X	Professional Counselor	61488	TX

General Provider Information

NPI Number	:	1598085433
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LYNN P. ZIPOY PHD, LPC

Provider Business Mailing Address
First Line	:	4102 HONEYCOMB ROCK CIR
Second Line	:
City	:	AUSTIN
State	:	TX
Zip	:	78731-2016
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	4102 HONEYCOMB ROCK CIR
Second Line	:
City	:	AUSTIN
State	:	TX
Zip	:	78731-2016
Country	:	US
Telephone Number	:	512-705-7595
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/02/2010
Last Update Date	:	04/17/2013

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