# EMPORIA PSYCHOLOGICAL SERVICES INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1780961425
- **Authorized official:** TIMOTHY STEVEN SIPPOLA PHD (OWNER)
- **Authorized official phone:** (620) 342-1998

## Contact information

- **Practice address:** 1402 EXCHANGE CT, EMPORIA, KS 66801-5272
- **Practice address phone:** (620) 342-1998
- **Mailing address:** 1402 EXCHANGE CT, EMPORIA, KS 66801-5272
- **Mailing address phone:** (620) 481-0100

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 103T00000X | Psychologist | 0523 | KS | Yes |

## Other

- **Enumeration date:** 11/09/2011
- **Last updated:** 02/11/2025

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 119025 | BCBS OF KS | KS |
| 01 | — | P00285242 | RAILROAD MEDICARE | KS |