Organization
MEDICAL PSYCHOLOGY ASSOCIATES, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEPHEN LIPPOLD PHD (PRESIDENT)
(281) 218-8181
Entity
Organization
Contact information
Practice address
1560 W BAY AREA BLVD STE 305, FRIENDSWOOD, TX 77546-2674
(281) 218-8181
(281) 218-7676
Mailing address
1560 W BAY AREA BLVD STE 305, FRIENDSWOOD, TX 77546-2674
(281) 218-8181
(281) 218-7676
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
23556
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
093993601
—
TX
01
—
680014828
PALMETTO GBA
TX
01
—
DO9449
PALMETTO GBA
TX
Enumeration date
02/07/2007
Last updated
08/20/2009
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