Individual
MR. BOYSIE DIVINE LIPSCOMB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2529 BEALE AVE, ALTOONA, PA 16601-1907
(814) 780-3030
Mailing address
2529 BEALE AVE, ALTOONA, PA 16601-1907
(814) 780-3030
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
APC001949
PA
Other
Enumeration date
06/05/2026
Last updated
06/05/2026
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