Provider Demographics
NPI:1598950305
Name:TUPPER, CHRISTINE E (MED)
Entity Type:Individual
Prefix:
First Name:CHRISTINE
Middle Name:E
Last Name:TUPPER
Suffix:
Gender:F
Credentials:MED
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:28A FOREST ST
Mailing Address - Street 2:
Mailing Address - City:ROCKPORT
Mailing Address - State:MA
Mailing Address - Zip Code:01966-1307
Mailing Address - Country:US
Mailing Address - Phone:508-284-5556
Mailing Address - Fax:
Practice Address - Street 1:28A FOREST ST
Practice Address - Street 2:
Practice Address - City:ROCKPORT
Practice Address - State:MA
Practice Address - Zip Code:01966-1307
Practice Address - Country:US
Practice Address - Phone:508-284-5556
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-09-14
Last Update Date:2007-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health