Lippy, Mario

Lippy, Mario is an individual health care provider with primary practice located at 990 Willow Creek Rd , Prescott AZ 86301-1640. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Psychologist. Behavioral Health & Social Service Providers / Psychologist is his primary health care specialty. Lippy, Mario can be contacted via phone (877) 634-7333.

Contact Information

Primary practice address
990 Willow Creek Rd Prescott AZ 86301-1640
Phone: (877) 634-7333
Fax: (866) 984-3891
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X LISAC11042 Arizona
Behavioral Health & Social Service Providers / Psychologist 103T00000X PSY004234 Arizona

Profile Details

NPI number 1750453106
LBN Legal business name Lippy, Mario
Credentials PSYCHOLOGIST
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 14th, 2006
Last updated Jul 23rd, 2021 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1750453106 NPPES
Arizona Other PSY004234 ARIZONA STATE BOARD OF PSYCHOLOGIST EXAMINERS

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