Provider Demographics
NPI:1992330724
Name:LIPP, SCOTT L (PHD, LMHC, LPC, NCC)
Entity type:Individual
Prefix:DR
First Name:SCOTT
Middle Name:L
Last Name:LIPP
Suffix:
Gender:M
Credentials:PHD, LMHC, LPC, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:150 E PALMETTO PARK RD STE 800
Mailing Address - Street 2:
Mailing Address - City:BOCA RATON
Mailing Address - State:FL
Mailing Address - Zip Code:33432-4833
Mailing Address - Country:US
Mailing Address - Phone:561-421-3048
Mailing Address - Fax:561-465-7501
Practice Address - Street 1:150 E PALMETTO PARK RD STE 800
Practice Address - Street 2:
Practice Address - City:BOCA RATON
Practice Address - State:FL
Practice Address - Zip Code:33432-4833
Practice Address - Country:US
Practice Address - Phone:561-421-3048
Practice Address - Fax:561-465-7501
Is Sole Proprietor?:Yes
Enumeration Date:2020-03-12
Last Update Date:2022-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH16363101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty