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Organization

DAVID A. LIPSITZ, PH.D., INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. DAVID ALAN LIPSITZ PH.D. (CLINICAL PSYCHOLOGIST)
(636) 441-3322
Entity
Organization

Contact information

Practice address
514 JUNGERMANN RD, SAINT PETERS, MO 63376-2730
(636) 441-3322
(636) 441-4302
Mailing address
514 JUNGERMANN RD, SAINT PETERS, MO 63376-2730
(636) 441-3322
(636) 441-4302

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
00061
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
493218200
MO
Enumeration date
09/03/2010
Last updated
09/03/2010
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