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DR. GLENN SCOTT LIPSON PH.D.
>> Psychologist >> Behavioral Health & Social Service ProvidersRegistrant NPI Number: 1063444867
Individual Registrant:DR. GLENN SCOTT LIPSON PH.D.
Gender: M
Not Sole Proprietor
Gender: M
Not Sole Proprietor
Location and contact information for practice:
16236 SAN DIEGUITO RD SUITE 3-23 RANCHO SANTA FE, CA 92091-9802 US
Tel: 858-759-1848 Fax: 858-759-1098
Tel: 858-759-1848 Fax: 858-759-1098
Contact information for business:
P.O. BOX 8621 RANCHO SANTA FE, CA 92067 US
Tel: 858-759-1848 Fax: 858-759-1098
Tel: 858-759-1848 Fax: 858-759-1098
Registration Information:
NPI: 1063444867
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 103T00000X | Behavioral Health & Social Service Providers Psychologist | CA | PSY11335 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
