Individual
DR. GERALD LIPTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
26 SHUNPIKE RD, CROMWELL, CT 06416-2442
(860) 635-1355
Mailing address
26 SHUNPIKE RD, CROMWELL, CT 06416-2442
(860) 635-1355
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
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