1932279601 NPI number — MS. ANNA GENE LIPSHUTZ MSS, LCSW

Table of content: MS. ANNA GENE LIPSHUTZ MSS, LCSW (NPI 1932279601)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1932279601 NPI number — MS. ANNA GENE LIPSHUTZ MSS, LCSW

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
LIPSHUTZ
Provider First Name:
ANNA
Provider Middle Name:
GENE
Provider Name Prefix Text:
MS.
Provider Name Suffix Text:
Provider Credential Text:
MSS, LCSW
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
LIPSHUTZ-HUROWITZ
Provider Other First Name:
ANNA
Provider Other Middle Name:
GENE
Provider Other Name Prefix Text:
MRS.
Provider Other Name Suffix Text:
Provider Other Credential Text:
MSS, LCSW
Provider Other Last Name Type Code:
5

NPI Number Information

NPI Number:
1932279601
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
07/08/2007
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
600 HAVERFORD RD
Provider Second Line Business Mailing Address:
SUITE G104
Provider Business Mailing Address City Name:
HAVERFORD
Provider Business Mailing Address State Name:
PA
Provider Business Mailing Address Postal Code:
19041-1139
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
610-649-6344
Provider Business Mailing Address Fax Number:
610-649-6930

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
600 HAVERFORD RD
Provider Second Line Business Practice Location Address:
SUITE G104
Provider Business Practice Location Address City Name:
HAVERFORD
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
19041-1139
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
610-649-6344
Provider Business Practice Location Address Fax Number:
610-649-6930
Provider Enumeration Date:
11/09/2006

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 1041C0700X , with the licence number:  CW013739 , registered in the state of PA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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