| Doctor Name: | MR. GARY LEE DIPPEL |
| NPI Number: | 1184786964 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | LICSW |
| License Number: | 1025809 |
| Business Practice Address: | 1007 Main St. Dayville, CT - 062410839 |
| Business Phone Number: | 8607742020 |
| Business Fax Number: | 8607740826 |
| Mailing Address: | 181 Washington St, Apt.2 NORWICH |
| State: | CT |
| Postal Code: | 063604218 |
| Phone Number: | 8608874658 |
| Fax Number: | |
| NPI Enumeration Date: | 12/15/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | 1025809 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |