Provider Demographics
NPI:1194412635
Name:LIPSKY, ELI R (MFT)
Entity type:Individual
Prefix:
First Name:ELI
Middle Name:R
Last Name:LIPSKY
Suffix:
Gender:M
Credentials:MFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8006 MILLTOWN CIR
Mailing Address - Street 2:
Mailing Address - City:CHELTENHAM
Mailing Address - State:PA
Mailing Address - Zip Code:19012-1235
Mailing Address - Country:US
Mailing Address - Phone:215-410-6383
Mailing Address - Fax:
Practice Address - Street 1:8006 MILLTOWN CIR
Practice Address - Street 2:
Practice Address - City:CHELTENHAM
Practice Address - State:PA
Practice Address - Zip Code:19012-1235
Practice Address - Country:US
Practice Address - Phone:215-410-6383
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-04-24
Last Update Date:2023-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist