| Dr Mindy Beth Lipson Llc | |
|
14575 W Mountain View Blvd Unit 10307 Surprise AZ 85374-8672 | |
| (561) 489-3667 | |
| Not Available |
| Full Name | Dr Mindy Beth Lipson Llc |
|---|---|
| Speciality | Psychologist |
| Location | 14575 W Mountain View Blvd Unit 10307, Surprise, Arizona |
| Authorized Official Name and Position | Mindy Lipson (OWNER) |
| Authorized Official Contact | 5614893667 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Mindy Beth Lipson Llc 14575 W Mountain View Blvd Unit 10307 Surprise AZ 85374-8672 Ph: (561) 489-3667 | Dr Mindy Beth Lipson Llc 14575 W Mountain View Blvd Unit 10307 Surprise AZ 85374-8672 Ph: (561) 489-3667 |
| NPI Number | 1346983582 |
|---|---|
| Provider Enumeration Date | 04/15/2022 |
| Last Update Date | 04/15/2022 |
| Certification Date | 04/15/2022 |
| Medicare PECOS PAC ID | 2567849292 |
|---|---|
| Medicare Enrollment ID | O20220518000427 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346983582 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
| Provider Name | Mindy Lipson |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1356540173 PECOS PAC ID: 5496846420 Enrollment ID: I20110405000688 |
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