| David A. Lipsitz, Ph.d., Inc | |
|
514 Jungermann Rd Saint Peters MO 63376-2730 | |
| (636) 441-3322 | |
| (636) 441-4302 |
| Full Name | David A. Lipsitz, Ph.d., Inc |
|---|---|
| Speciality | Psychologist |
| Location | 514 Jungermann Rd, Saint Peters, Missouri |
| Authorized Official Name and Position | David Alan Lipsitz (CLINICAL PSYCHOLOGIST) |
| Authorized Official Contact | 6364413322 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| David A. Lipsitz, Ph.d., Inc 514 Jungermann Rd Saint Peters MO 63376-2730 Ph: (636) 441-3322 | David A. Lipsitz, Ph.d., Inc 514 Jungermann Rd Saint Peters MO 63376-2730 Ph: (636) 441-3322 |
| NPI Number | 1710294301 |
|---|---|
| Provider Enumeration Date | 09/03/2010 |
| Last Update Date | 09/03/2010 |
| Medicare PECOS PAC ID | 4082809785 |
|---|---|
| Medicare Enrollment ID | O20101108000784 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710294301 | NPI | - | NPPES |
| 493218200 | Medicaid | MO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 00061 (Missouri) | Primary |
| Provider Name | David A Lipsitz |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1104919455 PECOS PAC ID: 2961697669 Enrollment ID: I20101109000228 |
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