| Psychll Incorporated | |
|
111 Cloister Ct Ste 100 Chapel Hill NC 27514-2295 | |
| (919) 942-9574 | |
| (919) 403-5511 |
| Full Name | Psychll Incorporated |
|---|---|
| Speciality | Social Worker |
| Location | 111 Cloister Ct Ste 100, Chapel Hill, North Carolina |
| Authorized Official Name and Position | Lewis Lipsitz (PRESIDENT) |
| Authorized Official Contact | 9199429574 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Psychll Incorporated 111 Cloister Ct Ste 100 Chapel Hill NC 27514-2295 Ph: (919) 942-9574 | Psychll Incorporated 111 Cloister Ct Ste 100 Chapel Hill NC 27514-2295 Ph: (919) 942-9574 |
| NPI Number | 1487841458 |
|---|---|
| Provider Enumeration Date | 10/03/2007 |
| Last Update Date | 01/11/2008 |
| Medicare PECOS PAC ID | 0446340764 |
|---|---|
| Medicare Enrollment ID | O20071226000149 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487841458 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | NC-C002067 (North Carolina) | Primary |
| Provider Name | Lewis Lipsitz |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1205915220 PECOS PAC ID: 9032218342 Enrollment ID: I20070627000726 |
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