Doctor Name: | DONNA CLARK TIPPETT |
NPI Number: | 1154461184 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.P.H., M.A., CCC |
License Number: | 01415 |
Business Practice Address: | 601 N. Caroline Street 6th Floor Baltimore, MD - 212870910 |
Business Phone Number: | 4109557895 |
Business Fax Number: | 4109559792 |
Mailing Address: | 200 Montrose Ave, BALTIMORE |
State: | MD |
Postal Code: | 212285611 |
Phone Number: | 4109557895 |
Fax Number: | 4109559792 |
NPI Enumeration Date: | 02/07/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 01415 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MD |
Taxonomy Type: | Speech, Language and Hearing Service Providers |
Taxonomy Classification: | Speech-Language Pathologist |
Taxonomy Specialization: | |
Taxonomy Definition: | A speech pathologist is a person qualified by a master |