Individual
DR. MARC BRUCE LIPTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D., M.P.A.
Contact information
Practice address
1777 REISTERSTOWN RD., COMMERCE CENTER EAST, SUITE 288, BALTIMORE, MD 21208
(410) 484-9400
(410) 484-9401
Mailing address
1777 REISTERSTOWN RD., COMMERCE CENTER EAST, SUITE 288, BALTIMORE, MD 21208
(410) 484-9400
(410) 484-9401
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
1184
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
735400200
—
MD
Enumeration date
08/22/2006
Last updated
03/27/2019
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