Provider Demographics
NPI:1376721753
Name:DIPIPPO, RACHEL MARY (LMHC)
Entity Type:Individual
Prefix:
First Name:RACHEL
Middle Name:MARY
Last Name:DIPIPPO
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:190 BROAD ST
Mailing Address - Street 2:#11W
Mailing Address - City:PROVIDENCE
Mailing Address - State:RI
Mailing Address - Zip Code:02903-4077
Mailing Address - Country:US
Mailing Address - Phone:401-354-9696
Mailing Address - Fax:401-273-1300
Practice Address - Street 1:190 BROAD ST
Practice Address - Street 2:#11W
Practice Address - City:PROVIDENCE
Practice Address - State:RI
Practice Address - Zip Code:02903-4077
Practice Address - Country:US
Practice Address - Phone:401-354-9696
Practice Address - Fax:401-273-1300
Is Sole Proprietor?:No
Enumeration Date:2008-02-07
Last Update Date:2013-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YP1600XBehavioral Health & Social Service ProvidersCounselorPastoral