Individual
MS. DANIELLE JACKSON LIPPOLDT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A.
Contact information
Practice address
373 EDWIN DR, VIRGINIA BEACH, VA 23462-4522
(757) 803-5663
(757) 938-6944
Mailing address
373 EDWIN DR, VIRGINIA BEACH, VA 23462-4522
(757) 301-2411
(888) 966-0621
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
0133000608
VA
235Z00000X
Speech-Language Pathologist
2202005994
VA
Other
Enumeration date
07/15/2010
Last updated
09/11/2025
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