Individual
DR. LAURA ROBIN LIPKIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
100 PRESIDENTIAL BLVD, SUITE G2, BALA CYNWYD, PA 19004-1108
(610) 664-0448
(215) 836-1534
Mailing address
100 PRESIDENTIAL BLVD, SUITE G2, BALA CYNWYD, PA 19004-1108
(610) 664-0448
(215) 836-1534
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PS004354-L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0062946000
PERSONAL CHOICE
PA
05
—
1294100
—
PA
01
—
620000976
RAILROAD MEDICARE
—
Enumeration date
08/03/2005
Last updated
09/15/2008
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