Jonathan Mark Lipson
Health Service Clinical Psychologist
1746 Cole Blvd Building 21, Suite 295
Lakewood
, Colorado 80401-3208
Jonathan Mark Lipson
Health Service Clinical Psychologist
1746 Cole Blvd Building 21, Suite 295
Lakewood
, Colorado 80401-3208
(303) 278-4981
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About
Features
Specialties
- Clinical Psychologist
- Health Service
Languages spoken
- English
Location
First Address
- Jonathan Mark Lipson
- Po Box 478
- Conifer, CO
- Zip : 80433-0478
- Fax : (303) 278-4981
- Phone : (303) 916-1952
Second Address
- Jonathan Mark Lipson
- 1746 Cole Blvd Building 21, Suite 295
- Lakewood, CO
- Zip : 80401-3208
- Fax : (303) 278-4981
- Phone : (303) 916-1952
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 103G00000X | Clinical Psychologist | 2129 | CO |
| Y | 103TC0700X | Clinical Psychologist | 2129 | CO |
| N | 103TH0100X | Health Service | 2129 | CO |
National Provider Identifier
| NPI | 1023010691 |
|---|---|
| Provider Name | Jonathan Mark Lipson |
| First Address | Conifer, CO 80433-0478 |
| Second Address | Lakewood, CO 80401-3208 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 12/08/2005 |
| Last Update Date | 11/06/2009 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 07021298 | (05) | CO |
| LIA53624 | BLUE CROSS BLUE SHIELD (01) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.