Doctor Name: | JESSICA ROBYN LIPKIND |
NPI Number: | 1063550424 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PSYD |
License Number: | RPS2006095 |
Business Practice Address: | 3301 E 12th St Ste 259 Oakland, CA - 946012940 |
Business Phone Number: | 5102699030 |
Business Fax Number: | 5102699031 |
Mailing Address: | 1301 14th Ave Apt 3, SAN FRANCISCO |
State: | CA |
Postal Code: | 941222137 |
Phone Number: | 4157866999 |
Fax Number: | |
NPI Enumeration Date: | 02/01/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 390200000X |
License Number: | RPS2006095 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Student, Health Care |
Taxonomy Classification: | Student in an Organized Health Care Education/Training Program |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |