Provider Demographics
NPI:1932415858
Name:SIPPEL, MARIANNE (MA)
Entity Type:Individual
Prefix:MS
First Name:MARIANNE
Middle Name:
Last Name:SIPPEL
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:138 NEW MOHAWK RD
Mailing Address - Street 2:# 200
Mailing Address - City:NEVADA CITY
Mailing Address - State:CA
Mailing Address - Zip Code:95959-3244
Mailing Address - Country:US
Mailing Address - Phone:530-478-0900
Mailing Address - Fax:530-478-0982
Practice Address - Street 1:138 NEW MOHAWK RD
Practice Address - Street 2:# 200
Practice Address - City:NEVADA CITY
Practice Address - State:CA
Practice Address - Zip Code:95959-3244
Practice Address - Country:US
Practice Address - Phone:530-478-0900
Practice Address - Fax:530-478-0982
Is Sole Proprietor?:No
Enumeration Date:2010-08-30
Last Update Date:2011-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health