Individual
TAMARA PHIPPS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3303 TULANE AVE, NEW ORLEANS, LA 70119-7185
(504) 826-5206
Mailing address
2930 UPPERLINE ST, NEW ORLEANS, LA 70115-6937
(504) 287-7637
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
106S00000X
LA
Other
Enumeration date
12/08/2016
Last updated
12/08/2016
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