Tippy, Samantha Jean
Tippy, Samantha Jean is an sole proprietor health care provider with primary practice located at 4814 Westgarden Blvd , Alexandria LA 71303-2639. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Tippy, Samantha Jean can be contacted via phone (815) 210-5045.Contact Information
Primary practice address
4814 Westgarden Blvd
Alexandria LA 71303-2639
Phone: (815) 210-5045
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 071010775 | Illinois |
Profile Details
| NPI number | 1093445249 |
|---|---|
| LBN Legal business name | Tippy, Samantha Jean |
| Credentials | PSYD |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 12th, 2022 |
| Last updated | Jun 12th, 2022 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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