| Doctor Name: | REGINA C TIPPETS |
| NPI Number: | 1467411330 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | CMHC |
| License Number: | 2890226004 |
| Business Practice Address: | 505 Nygreen St Grantsville, UT - 840299421 |
| Business Phone Number: | 8014550361 |
| Business Fax Number: | |
| Mailing Address: | 505 Nygreen St, GRANTSVILLE |
| State: | UT |
| Postal Code: | 840299421 |
| Phone Number: | 8014550361 |
| Fax Number: | |
| NPI Enumeration Date: | 03/21/2006 |
| NPI Last Update Date: | 01/13/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | 2890226004 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | UT |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |