Organization
EQUILIBRIA PSYCHOLOGICAL AND CONSULTATION SERVICES, LLC
Active
Organization
EQUILIBRIA PSYCHOLOGICAL AND CONSULTATION SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NICOLE ALEXANDRA LIPKIN PSY.D., M.B.A. (OWNER AND EXECUTIVE DIRECTOR)
(267) 861-3685
Entity
Organization
Contact information
Practice address
525 S 4TH ST, SUITE 471, PHILADELPHIA, PA 19147-1570
(267) 861-3685
(215) 965-1513
Mailing address
525 S 4TH ST, SUITE 471, PHILADELPHIA, PA 19147-1570
(267) 861-3685
(215) 965-1513
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PS015446
PA
103TF0200X
Forensic Psychologist
PS015446
PA
Other
Enumeration date
08/16/2006
Last updated
06/04/2020
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