Provider Demographics
NPI:1982863494
Name:TIPPIE, GAYLE H (LPC)
Entity Type:Individual
Prefix:MRS
First Name:GAYLE
Middle Name:H
Last Name:TIPPIE
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:203-A HAL MULDROW DR
Mailing Address - Street 2:SUITE 7
Mailing Address - City:NORMAN
Mailing Address - State:OK
Mailing Address - Zip Code:73069
Mailing Address - Country:US
Mailing Address - Phone:405-329-7200
Mailing Address - Fax:405-321-4686
Practice Address - Street 1:203-A HAL MULDROW DR
Practice Address - Street 2:SUITE 7
Practice Address - City:NORMAN
Practice Address - State:OK
Practice Address - Zip Code:73069
Practice Address - Country:US
Practice Address - Phone:405-329-7200
Practice Address - Fax:405-321-4686
Is Sole Proprietor?:Yes
Enumeration Date:2008-06-09
Last Update Date:2008-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK1419101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional