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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