| Danielle Tipping Psyd | |
|
2662 Hacton Cv Memphis TN 38119-8402 | |
| (630) 923-5215 | |
| Not Available |
| Full Name | Danielle Tipping Psyd |
|---|---|
| Speciality | Psychologist |
| Location | 2662 Hacton Cv, Memphis, Tennessee |
| Authorized Official Name and Position | Danielle Tipping (OWNER) |
| Authorized Official Contact | 6309235215 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Danielle Tipping Psyd 2662 Hacton Cv Memphis TN 38119-8402 Ph: (630) 923-5215 | Danielle Tipping Psyd 2662 Hacton Cv Memphis TN 38119-8402 Ph: (630) 923-5215 |
| NPI Number | 1609579556 |
|---|---|
| Provider Enumeration Date | 03/22/2023 |
| Last Update Date | 08/22/2024 |
| Certification Date | 08/22/2024 |
| Medicare PECOS PAC ID | 5991161671 |
|---|---|
| Medicare Enrollment ID | O20230523001142 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609579556 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
| Provider Name | Danielle Tipping |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1801204458 PECOS PAC ID: 3274960091 Enrollment ID: I20230523001478 |
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