Provider Demographics
NPI:1871501627
Name:LIPSTEIN, MICHAEL L (MA LMFT)
Entity Type:Individual
Prefix:MR
First Name:MICHAEL
Middle Name:L
Last Name:LIPSTEIN
Suffix:
Gender:M
Credentials:MA LMFT
Other - Prefix:
Other - First Name:MICHAEL
Other - Middle Name:
Other - Last Name:LIPSTEIN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MA LMFT PS
Mailing Address - Street 1:S 820 MCCLELLAN ST
Mailing Address - Street 2:SUITE 411
Mailing Address - City:SPOKANE
Mailing Address - State:WA
Mailing Address - Zip Code:99204-2446
Mailing Address - Country:US
Mailing Address - Phone:509-838-8168
Mailing Address - Fax:509-838-8256
Practice Address - Street 1:S 820 MCCLELLAN ST
Practice Address - Street 2:SUITE 411
Practice Address - City:SPOKANE
Practice Address - State:WA
Practice Address - Zip Code:99204-2446
Practice Address - Country:US
Practice Address - Phone:509-838-8168
Practice Address - Fax:509-838-8256
Is Sole Proprietor?:No
Enumeration Date:2006-08-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALF00001345106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist