Provider Demographics
NPI:1174188452
Name:TIPTON, NORMAN
Entity Type:Individual
Prefix:MR
First Name:NORMAN
Middle Name:
Last Name:TIPTON
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:304 SOMERSET RD
Mailing Address - Street 2:
Mailing Address - City:AKRON
Mailing Address - State:OH
Mailing Address - Zip Code:44313-4533
Mailing Address - Country:US
Mailing Address - Phone:330-620-5962
Mailing Address - Fax:
Practice Address - Street 1:304 SOMERSET RD
Practice Address - Street 2:
Practice Address - City:AKRON
Practice Address - State:OH
Practice Address - Zip Code:44313-4533
Practice Address - Country:US
Practice Address - Phone:330-620-5962
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-05-02
Last Update Date:2019-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)