Provider Demographics
NPI:1952052300
Name:LIPSKY-LICHTENSTEIN, KYLIE (PSYD)
Entity type:Individual
Prefix:DR
First Name:KYLIE
Middle Name:
Last Name:LIPSKY-LICHTENSTEIN
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:DR
Other - First Name:KYLIE
Other - Middle Name:
Other - Last Name:LICHTENSTEIN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:PSYD
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 1:2345 MURRAY AVE STE 305
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15217-2352
Practice Address - Country:US
Practice Address - Phone:412-376-5017
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-01-17
Last Update Date:2025-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPS020390103TC1900X, 103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
No103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounseling