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Individual

DR. GLENN SCOTT LIPSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PH.D.

Contact information

Practice address
16236 SAN DIEGUITO RD, SUITE 3-23, RANCHO SANTA FE, CA 92091-9802
(858) 759-1848
(858) 759-1098
Mailing address
P.O. BOX 8621, RANCHO SANTA FE, CA 92067
(858) 759-1848
(858) 759-1098

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PSY11335
CA

Other

Enumeration date
07/06/2006
Last updated
07/08/2007
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