Provider Demographics
NPI:1790917748
Name:LIPMAN, ALAN J (PHD)
Entity Type:Individual
Prefix:DR
First Name:ALAN
Middle Name:J
Last Name:LIPMAN
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 1:631 D ST NW
Mailing Address - Street 2:STE. 433
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20004-2956
Mailing Address - Country:US
Mailing Address - Phone:202-423-6153
Mailing Address - Fax:
Practice Address - Street 1:631 D ST NW
Practice Address - Street 2:STE. 433
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20004-2956
Practice Address - Country:US
Practice Address - Phone:202-423-6153
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-08-10
Last Update Date:2009-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DC1000183103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist