Provider Demographics
NPI:1144347287
Name:LIPSCHUTZ, ABBY (PSYD)
Entity type:Individual
Prefix:DR
First Name:ABBY
Middle Name:
Last Name:LIPSCHUTZ
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:ABBY
Other - Middle Name:LYN
Other - Last Name:GOLDSTEIN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PSYD
Mailing Address - Street 1:17A WOODLAND RD
Mailing Address - Street 2:
Mailing Address - City:MADISON
Mailing Address - State:CT
Mailing Address - Zip Code:06443-2342
Mailing Address - Country:US
Mailing Address - Phone:203-779-5490
Mailing Address - Fax:203-896-9830
Practice Address - Street 1:17A WOODLAND RD
Practice Address - Street 2:
Practice Address - City:MADISON
Practice Address - State:CT
Practice Address - Zip Code:06443-2342
Practice Address - Country:US
Practice Address - Phone:646-265-2850
Practice Address - Fax:203-896-9830
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-23
Last Update Date:2020-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY016517103TC0700X
CT002850103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical