Tipton, Mark Allen

Tipton, Mark Allen is an sole proprietor health care provider with primary practice located at 2032 10Th Ave Suite 4 , Canyon TX 79015. He recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Psychologist. Behavioral Health & Social Service Providers / Mental Health is his primary health care specialty. Tipton, Mark Allen can be contacted via phone (806) 476-1440.

Contact Information

Primary practice address
2032 10Th Ave Suite 4 Canyon TX 79015
Phone: (806) 476-1440
Fax: (806) 476-1450
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 38919 Texas
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 1144 West Virginia
Behavioral Health & Social Service Providers / Psychologist 103T00000X 1144 West Virginia
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 38919 Texas

Profile Details

NPI number 1093827776
LBN Legal business name Tipton, Mark Allen
Credentials PSY. D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 31st, 2006
Last updated Apr 23rd, 2024 - about last year

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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Identifiers

StateTypeNumberIssuer
All States NPI 1093827776 NPPES
West Virginia Other 001722829 BCBS

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