Provider Demographics
NPI:1578612651
Name:LIPTON, LORRAINE (LMHC)
Entity Type:Individual
Prefix:MRS
First Name:LORRAINE
Middle Name:
Last Name:LIPTON
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:67 HALF CROWN CIRCLE
Mailing Address - Street 2:
Mailing Address - City:ASHLAND
Mailing Address - State:MA
Mailing Address - Zip Code:01721-3922
Mailing Address - Country:US
Mailing Address - Phone:508-881-5586
Mailing Address - Fax:508-881-5586
Practice Address - Street 1:5 EDGELL ROAD
Practice Address - Street 2:SUITE 23
Practice Address - City:FRAMINGHAM
Practice Address - State:MA
Practice Address - Zip Code:01701-4868
Practice Address - Country:US
Practice Address - Phone:508-872-7645
Practice Address - Fax:508-881-5586
Is Sole Proprietor?:No
Enumeration Date:2007-01-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA360101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health