Individual
DR. GERALD LIPTON
Active
Individual
DR. GERALD LIPTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
000666
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
060000666CT01
ANTHEM BLUE CROSS AND BLU
CT
01
—
215603
MHN
—
01
—
61-64973
CONNECTICARE
—
Enumeration date
09/22/2006
Last updated
07/08/2007
Update your record
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