Individual
DR. MARIO LIPPY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSY.D.
Contact information
Practice address
2081 W FRYE RD STE 208, CHANDLER, AZ 85224-6279
(480) 524-0990
Mailing address
2081 W FRYE RD STE 208, CHANDLER, AZ 85224-6279
(480) 524-0990
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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