Provider Demographics
NPI:1942594478
Name:TIPPENHAUER, CATHERINE M
Entity Type:Individual
Prefix:
First Name:CATHERINE
Middle Name:M
Last Name:TIPPENHAUER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:601 TIFFIN AVE
Mailing Address - Street 2:
Mailing Address - City:FINDLAY
Mailing Address - State:OH
Mailing Address - Zip Code:45840-5761
Mailing Address - Country:US
Mailing Address - Phone:419-944-7934
Mailing Address - Fax:419-832-2802
Practice Address - Street 1:601 TIFFIN AVE
Practice Address - Street 2:
Practice Address - City:FINDLAY
Practice Address - State:OH
Practice Address - Zip Code:45840-5761
Practice Address - Country:US
Practice Address - Phone:419-944-7934
Practice Address - Fax:419-832-2802
Is Sole Proprietor?:Yes
Enumeration Date:2011-06-01
Last Update Date:2011-06-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH101YP2500X101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional