Corey Colwell-Lipson, MA, ATR-BC

Primary specialty

Art TherapistTaxonomy code 221700000X

License

00-062 Issued in NC

Practice address

3707 Providence Point Dr SE
Suite G (Lakeside Family Physicians)
Issaquah, WA 98029-6216

Phone

(206) 818-7591

NPI assigned

May 21, 2007

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1179705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1093924656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1768 W BEAVER LAKE DR SE",
            "city": "SAMMAMISH",
            "state": "WA",
            "postal_code": "980758017",
            "telephone_number": "206-818-7591"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3707 PROVIDENCE POINT DR SE",
            "address_2": "SUITE G (LAKESIDE FAMILY PHYSICIANS)",
            "city": "ISSAQUAH",
            "state": "WA",
            "postal_code": "980296216",
            "telephone_number": "206-818-7591"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLWELL-LIPSON",
        "first_name": "COREY",
        "name_prefix": "Ms.",
        "credential": "MA, ATR-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "221700000X",
            "taxonomy_group": "",
            "desc": "Art Therapist",
            "state": "NC",
            "license": "00-062",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Marcus Colyer, M.D.
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• Tonya L Comstock, PH.D.
• Steven Wayne Conley, R.PH.
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• Art Therapist in Issaquah, WA
• Providers in Issaquah, WA by specialty
• Art Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.