Provider Demographics
NPI:1104950773
Name:LIPSTEIN, HILLARY ANNE (LMFT)
Entity type:Individual
Prefix:MS
First Name:HILLARY
Middle Name:ANNE
Last Name:LIPSTEIN
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:320 INDIANA AVE
Mailing Address - Street 2:UNIT C
Mailing Address - City:VENICE
Mailing Address - State:CA
Mailing Address - Zip Code:90291-3023
Mailing Address - Country:US
Mailing Address - Phone:310-622-5885
Mailing Address - Fax:
Practice Address - Street 1:1328 W MANCHESTER AVE
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90044-2240
Practice Address - Country:US
Practice Address - Phone:323-778-9593
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-03-15
Last Update Date:2009-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFC 46601106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist