Provider Demographics
NPI:1952052300
Name:LICHTENSTEIN, KYLIE LIPSKY (MA)
Entity Type:Individual
Prefix:
First Name:KYLIE
Middle Name:LIPSKY
Last Name:LICHTENSTEIN
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:KYLIE
Other - Middle Name:
Other - Last Name:LIPSKY-LICHTENSTEIN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MA
Mailing Address - Street 1:122 RANGLEY DR
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15209-1754
Mailing Address - Country:US
Mailing Address - Phone:412-389-2924
Mailing Address - Fax:
Practice Address - Street 1:134 S HIGHLAND AVE STE 678&9
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15206-3968
Practice Address - Country:US
Practice Address - Phone:724-777-1433
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-01-17
Last Update Date:2022-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health