Individual
DONNA CLARK TIPPETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.P.H., M.A., CCC
Contact information
Practice address
601 N. CAROLINE STREET, 6TH FLOOR, BALTIMORE, MD 21287-0910
(410) 955-7895
(410) 955-9792
Mailing address
200 MONTROSE AVE, BALTIMORE, MD 21228-5611
(410) 955-7895
(410) 955-9792
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
01415
MD
Other
Enumeration date
02/07/2007
Last updated
07/08/2007
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