Individual
DR. MARIO LIPPY
Active
Individual
DR. MARIO LIPPY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSY.D.
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
LISAC11042
AZ
103T00000X
Psychologist
Primary
PSY004234
AZ
103TC0700X
Clinical Psychologist
Primary
PSY-004234
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PSY004234
ARIZONA STATE BOARD OF PSYCHOLOGIST EXAMINERS
AZ
Enumeration date
11/14/2006
Last updated
02/04/2026
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