Individual
JENNIFER E SIPP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A., LPA, HSP-PA
Contact information
Practice address
9835 NORTHCROSS CENTER CT, SUITE B, HUNTERSVILLE, NC 28078-7302
(704) 896-8688
(704) 353-7029
Mailing address
9835 NORTHCROSS CENTER CT, SUITE B, HUNTERSVILLE, NC 28078-7302
(704) 896-8688
(704) 353-7029
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
103T00000X
Psychologist
3836
NC
103TB0200X
Cognitive & Behavioral Psychologist
3836
NC
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
3836
NC
103TF0000X
Family Psychologist
3836
NC
103TM1800X
Intellectual & Developmental Disabilities Psychologist
3836
NC
Other
Enumeration date
12/20/2007
Last updated
02/24/2010
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