Provider Demographics
NPI:1942432281
Name:LIPSCOMB, DAVID W (PMHCNS-BC)
Entity Type:Individual
Prefix:MR
First Name:DAVID
Middle Name:W
Last Name:LIPSCOMB
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Gender:M
Credentials:PMHCNS-BC
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Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:774 CHRISTIANA RD
Mailing Address - Street 2:SUITE 210B
Mailing Address - City:NEWARK
Mailing Address - State:DE
Mailing Address - Zip Code:19713-4236
Mailing Address - Country:US
Mailing Address - Phone:302-731-3017
Mailing Address - Fax:302-266-9661
Practice Address - Street 1:774 CHRISTIANA RD
Practice Address - Street 2:SUITE 210B
Practice Address - City:NEWARK
Practice Address - State:DE
Practice Address - Zip Code:19713-4236
Practice Address - Country:US
Practice Address - Phone:302-731-3017
Practice Address - Fax:302-266-9661
Is Sole Proprietor?:No
Enumeration Date:2009-08-20
Last Update Date:2009-08-20
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
DELE-0000178364SP0809X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes364SP0809XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistPsychiatric/Mental Health, Adult