Provider Demographics
NPI:1730324351
Name:TIPKA, MARGARET B (ATR, PC)
Entity Type:Individual
Prefix:MRS
First Name:MARGARET
Middle Name:B
Last Name:TIPKA
Suffix:
Gender:F
Credentials:ATR, PC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5860 NICHOLSON DR
Mailing Address - Street 2:
Mailing Address - City:HUDSON
Mailing Address - State:OH
Mailing Address - Zip Code:44236-3785
Mailing Address - Country:US
Mailing Address - Phone:330-528-0981
Mailing Address - Fax:
Practice Address - Street 1:72 N MAIN ST
Practice Address - Street 2:#308
Practice Address - City:HUDSON
Practice Address - State:OH
Practice Address - Zip Code:44236-2870
Practice Address - Country:US
Practice Address - Phone:330-760-7890
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-12-10
Last Update Date:2008-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHC0500583101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional