Provider Demographics
NPI:1992171839
Name:LIPPINCOTT, LAUREN MELISSA (PHD)
Entity type:Individual
Prefix:DR
First Name:LAUREN
Middle Name:MELISSA
Last Name:LIPPINCOTT
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:101 LINDENWOOD DR STE 225
Mailing Address - Street 2:
Mailing Address - City:MALVERN
Mailing Address - State:PA
Mailing Address - Zip Code:19355-1762
Mailing Address - Country:US
Mailing Address - Phone:610-553-5063
Mailing Address - Fax:
Practice Address - Street 1:101 LINDENWOOD DR STE 225
Practice Address - Street 2:
Practice Address - City:MALVERN
Practice Address - State:PA
Practice Address - Zip Code:19355-1762
Practice Address - Country:US
Practice Address - Phone:610-553-5063
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-08-14
Last Update Date:2021-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101YM0800X, 106H00000X
FLPY11053103TC0700X
PAPS019095103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist