| D Thomas Tipp Lcsw | |
|
9511 Hull Street Road Midlothian VA 23112-3407 | |
| (804) 339-7553 | |
| (804) 745-4742 |
| Full Name | D Thomas Tipp Lcsw |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 9511 Hull Street Road, Midlothian, Virginia |
| Authorized Official Name and Position | David Thomas Tipp (OWNER) |
| Authorized Official Contact | 8043397553 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| D Thomas Tipp Lcsw 9511 Hull Street Rd Ste B1 North Chesterfield VA 23236-2600 Ph: (804) 339-7553 | D Thomas Tipp Lcsw 9511 Hull Street Road Midlothian VA 23112-3407 Ph: (804) 339-7553 |
| NPI Number | 1811310261 |
|---|---|
| Provider Enumeration Date | 01/21/2014 |
| Last Update Date | 01/21/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811310261 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 0904000857 (Virginia) | Primary |
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