Provider Demographics
NPI:1992912265
Name:LIPKINS, ROBERT H (PHD)
Entity type:Individual
Prefix:
First Name:ROBERT
Middle Name:H
Last Name:LIPKINS
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:181 MURRAY AVE
Mailing Address - Street 2:
Mailing Address - City:LARCHMONT
Mailing Address - State:NY
Mailing Address - Zip Code:10538-1636
Mailing Address - Country:US
Mailing Address - Phone:914-834-4127
Mailing Address - Fax:914-834-4175
Practice Address - Street 1:181 MURRAY AVE
Practice Address - Street 2:
Practice Address - City:LARCHMONT
Practice Address - State:NY
Practice Address - Zip Code:10538-1636
Practice Address - Country:US
Practice Address - Phone:914-834-4127
Practice Address - Fax:914-834-4175
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY009467-1103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist