Lipsitz, David Alan

Lipsitz, David Alan is an sole proprietor health care provider with primary practice located at 514 Jungermann Rd , Saint Peters MO 63376-2730. He recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as his primary health care specialty. Lipsitz, David Alan can be contacted via phone (636) 441-3322.

Contact Information

Primary practice address
514 Jungermann Rd Saint Peters MO 63376-2730
Fax: (636) 441-4302
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X 00061 Missouri

Profile Details

NPI number 1104919455
LBN Legal business name Lipsitz, David Alan
Credentials PH.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 1st, 2006
Last updated Jul 8th, 2007 - about 19 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 1104919455 NPPES
Missouri MEDICAID 493218200

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