Provider Demographics
NPI:1891968913
Name:LIPPEATT, MARY MARGARET (MS, CCC-A)
Entity Type:Individual
Prefix:
First Name:MARY
Middle Name:MARGARET
Last Name:LIPPEATT
Suffix:
Gender:F
Credentials:MS, CCC-A
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9055 KATY FWY
Mailing Address - Street 2:SUITE 415
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77024-1624
Mailing Address - Country:US
Mailing Address - Phone:281-822-3777
Mailing Address - Fax:281-822-3776
Practice Address - Street 1:9055 KATY FWY
Practice Address - Street 2:SUITE 415
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77024-1624
Practice Address - Country:US
Practice Address - Phone:281-822-3777
Practice Address - Fax:281-822-3776
Is Sole Proprietor?:No
Enumeration Date:2008-04-09
Last Update Date:2015-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX51287231H00000X, 237600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist
No237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid Fitter
Provider Identifiers
StateIdentifier IDID TypeIssuer
1184707788OtherGROUP NPI
00575UOtherMEDICARE GROUP NUMBER
TX51287OtherLICENSE