Provider Demographics
NPI:1184002370
Name:FLIPPO, AMBER (PHD, MFT)
Entity Type:Individual
Prefix:
First Name:AMBER
Middle Name:
Last Name:FLIPPO
Suffix:
Gender:F
Credentials:PHD, MFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 662
Mailing Address - Street 2:
Mailing Address - City:OAK HARBOR
Mailing Address - State:WA
Mailing Address - Zip Code:98277-0662
Mailing Address - Country:US
Mailing Address - Phone:775-857-7778
Mailing Address - Fax:
Practice Address - Street 1:32650 STATE ROUTE 20 STE C204
Practice Address - Street 2:
Practice Address - City:OAK HARBOR
Practice Address - State:WA
Practice Address - Zip Code:98277-2687
Practice Address - Country:US
Practice Address - Phone:866-625-2004
Practice Address - Fax:866-625-2831
Is Sole Proprietor?:No
Enumeration Date:2015-05-08
Last Update Date:2020-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV01335106H00000X
WA60901006106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist