| Thomas S. Lipsitz, Ph.d., Inc. | |
|
777 Craig Rd Ste 120 Creve Coeur MO 63141-7133 | |
| (314) 997-6463 | |
| (314) 997-4423 |
| Full Name | Thomas S. Lipsitz, Ph.d., Inc. |
|---|---|
| Speciality | Psychologist |
| Location | 777 Craig Rd Ste 120, Creve Coeur, Missouri |
| Authorized Official Name and Position | Thomas S. Lipsitz (PRESIDENT) |
| Authorized Official Contact | 3149976463 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Thomas S. Lipsitz, Ph.d., Inc. 777 Craig Rd Ste 120 Creve Coeur MO 63141-7133 Ph: (314) 997-6463 | Thomas S. Lipsitz, Ph.d., Inc. 777 Craig Rd Ste 120 Creve Coeur MO 63141-7133 Ph: (314) 997-6463 |
| NPI Number | 1700046125 |
|---|---|
| Provider Enumeration Date | 06/10/2008 |
| Last Update Date | 06/10/2008 |
| Medicare PECOS PAC ID | 8426129065 |
|---|---|
| Medicare Enrollment ID | O20080625000339 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700046125 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | 00637 (Missouri) | Primary |
| Provider Name | Thomas S Lipsitz |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1932183225 PECOS PAC ID: 0446321087 Enrollment ID: I20080625000329 |
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