Leland H Lipp is a Clinical in Grand Forks, North Dakota. Leland H Lipp practices all healthcare services and medical treatments related to Clinical. The NPI Number for Leland H Lipp is 1619904984. The last update date is 2007-07-09.
Leland H Lipp's current location address is 2808 17th Ave S, Grand Forks, North Dakota. You can contact this provider via phone number 7017468376 and fax number 7017469872. The mailing address for Leland H Lipp is 2808 17th Ave S, Grand Forks, North Dakota. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Leland H Lipp |
|---|---|
| Address | 2808 17th Ave S, Grand Forks, North Dakota |
| Phone Number | 7017468376 |
| Fax Number | 7017469872 |
| Sole Proprietor | N |
| Credentials | PH.D. |
NPI Number Detail
| NPI Number | 1619904984 |
|---|---|
| Provider Enumeration Date | 2006-06-26 |
| Last Updated Date | 2007-07-09 |
Provider Mailing Address Detail
| Address | 2808 17th Ave S |
|---|---|
| City | Grand Forks |
| State | North Dakota (ND) |
| Post Code | 582014010 |
| Phone Number | 7017468376 |
| Fax Number | 7017469872 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | 34 |
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Definition: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 16925 | ND | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Leland H Lipp?
The Leland H Lipp has been issued the NPI (National Provider Identifier) 1619904984 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please share the complete physical address where Leland H Lipp is geographically located?
The Leland H Lipp is physically situated at the following location: 2808 17Th Ave S, Grand Forks, ND, 582014010.
What is the area of specialization for Leland H Lipp, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Leland H Lipp is Clinical, and the corresponding taxonomy code that categorizes this area of expertise is 103Tc0700X.
When did Leland H Lipp receive its 1619904984 assignment?
The Leland H Lipp was assigned its 1619904984 on 2006-06-26, which is the date when this unique identifier was issued to the organization.
As of what date were the details pertaining to Leland H Lipp last refreshed?
The information related to the Leland H Lipp, including its address, specialty, and other relevant details, was last updated on 2007-07-09.