Individual
MARK ALLEN TIPTON
Active
Individual
MARK ALLEN TIPTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSY. D.
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
1144
WV
101YM0800X
Mental Health Counselor
38919
TX
103T00000X
Psychologist
1144
WV
103TC0700X
Clinical Psychologist
Primary
38919
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001722829
BCBS
WV
Enumeration date
08/31/2006
Last updated
10/20/2025
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