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Individual
TRACY LIPPES
Active
Individual
TRACY LIPPES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
14317
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02119639
—
NY
01
—
680013189
RAILROAD MEDICARE
NY
Enumeration date
07/27/2006
Last updated
08/05/2010
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