Organization
STIPKOVITS CONSULTING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
IBOLYA STIPKOVITS LCSW, MSW, TIP (MANAGING MEMBER)
(863) 255-0297
Entity
Organization
Contact information
Practice address
2031 E EDGEWOOD DR STE 4, LAKELAND, FL 33803-3659
(863) 255-0297
(863) 279-0321
Mailing address
PO BOX 6255, LAKELAND, FL 33807-6255
(863) 213-9560
Taxonomy
Speciality
Code
Description
License number
State
2084B0040X
Behavioral Neurology & Neuropsychiatry Physician
Primary
—
—
2084P0800X
Psychiatry Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002452200
—
FL
Enumeration date
01/10/2019
Last updated
01/10/2019
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