Provider Demographics
NPI:1114133071
Name:ZIPPERIAN, CATHY LOUISE (MS)
Entity Type:Individual
Prefix:MRS
First Name:CATHY
Middle Name:LOUISE
Last Name:ZIPPERIAN
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4790 E AVENIDA DEL CAZADOR
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85718-7257
Mailing Address - Country:US
Mailing Address - Phone:520-401-5995
Mailing Address - Fax:520-299-7279
Practice Address - Street 1:4790 E AVENIDA DEL CAZADOR
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85718-7257
Practice Address - Country:US
Practice Address - Phone:520-401-5995
Practice Address - Fax:520-299-7279
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZLPC-0149101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional