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STEPHEN CRAIG LIPPOLD PHD

Clinical Neuropsychologist

Friendswood, Texas

Provider NPI: 1174518781

Provider Information:
 STEPHEN CRAIG LIPPOLD PHD
Gender: M


Practice Location:
1560 W BAY AREA BLVD SUITE 305 FRIENDSWOOD, TX 77546 US
Tel: 281-218-8181  Fax: 281-218-7676

Business Mailing Address:
1560 W BAY AREA BLVD SUITE 305 FRIENDSWOOD, TX 77546 US
Tel: 281-218-8181  Fax: 281-218-7676

Entity Type: Individual

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y103G00000XBehavioral Health & Social Service Providers
Clinical Neuropsychologist
TX23556

Other Provider Identifiers:

IssuerNumberStateType
AETNA0004358643TX01
UNITED HEALTH CARE6135241TX01
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin







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