ELISE LILLARD IPOCK


Address: 414 Harrison St, West Lafayette, IN 47906-3516
Phone: 7657434639

ELISE LILLARD IPOCK (NPI# 1730357179) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1730357179
Entity Type Individual
Full Name ELISE LILLARD IPOCK
Credential M.S.
Practice Address 414 Harrison St
West Lafayette
IN 47906-3516
Practice Telephone 7657434639
Enumeration Date 2008-02-19
Last Update Date 2008-02-19
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103TM1800X Psychologist
Specialization: Mental Retardation & Developmental Disabilities
Behavioral Health & Social Service Providers

Office Location

Street Address 414 HARRISON ST
City WEST LAFAYETTE
State IN
Zip Code 47906-3516

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Taxonomy Information

Taxonomy Code 103TM1800X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization Mental Retardation & Developmental Disabilities

Taxonomy Definition

Definition to come...

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Competitor

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City WEST LAFAYETTE
Zip Code 47906

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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