Provider Demographics
NPI:1770780066
Name:HIPPLE, PAULA (BS,CADC)
Entity type:Individual
Prefix:MRS
First Name:PAULA
Middle Name:
Last Name:HIPPLE
Suffix:
Gender:F
Credentials:BS,CADC
Other - Prefix:MRS
Other - First Name:PAULA
Other - Middle Name:LYNN
Other - Last Name:HIPPLE
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:BSCADC
Mailing Address - Street 1:602 SW A AVE
Mailing Address - Street 2:
Mailing Address - City:LAWTON
Mailing Address - State:OK
Mailing Address - Zip Code:73501-3930
Mailing Address - Country:US
Mailing Address - Phone:580-355-0072
Mailing Address - Fax:580-355-0232
Practice Address - Street 1:602 SW A AVE
Practice Address - Street 2:
Practice Address - City:LAWTON
Practice Address - State:OK
Practice Address - Zip Code:73501-3930
Practice Address - Country:US
Practice Address - Phone:580-355-0072
Practice Address - Fax:580-355-0232
Is Sole Proprietor?:No
Enumeration Date:2007-06-29
Last Update Date:2012-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker