Organization
CORNERSTONE PSYCHOLOGICAL ASSOCIATES, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSEPH AL LIPETZKY PSYD (MANAGER)
(208) 373-0790
Entity
Organization
Contact information
Practice address
1755 WESTGATE DR, SUITE 260, BOISE, ID 83704-7174
(208) 373-0790
(208) 373-0816
Mailing address
1755 N WESTGATE DR, SUITE 260, BOISE, ID 83704-7174
(208) 373-0790
(208) 373-0816
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
—
—
103TC0700X
Clinical Psychologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8G759
BLUE CROSS OF IDAHO
ID
Enumeration date
02/13/2007
Last updated
09/04/2025
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