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Individual

DR. JOSEPH AL LIPETZKY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PSY. D.

Contact information

Practice address
1755 N WESTGATE DR STE 260, BOISE, ID 83704-7176
(208) 373-0790
(208) 373-0816
Mailing address
1755 N WESTGATE DR STE 260, BOISE, ID 83704-7176
(208) 373-0790
(208) 373-0816

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY 338
ID

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
00010016100
REGENCE BLUE SHIELD
ID
01
N5509
BLUE CROSS
ID
Enumeration date
10/09/2005
Last updated
09/04/2025
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