NPI 1043316961
Lipp, Carlson, Witucki & Associates, LTD
Practice location
- Address
- 2808 17th Ave S, Grand Forks, ND 58201-4010
- Phone
- (701) 746-8376
- Fax
- (701) 746-9872
Authorised official
- Name
- Priscilla Marto
- Title
- Office Manager
- Phone
- (701) 746-8376
Registered specialties
Clinical Psychologist
Primary
Registry record
- NPI
- 1043316961
- Entity type
- Organization
- NPI issued
- 16 Sep 2006
- Record last updated
- 21 Jul 2022
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.