Individual
MICHELLE TIPPENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4900 IVEY RD NW STE 1720, ACWORTH, GA 30101-4101
(770) 917-5737
Mailing address
1858 HAWKS RIDGE CT, LAWRENCEVILLE, GA 30043-6642
(770) 601-3811
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
PCET003892
GA
Other
Enumeration date
08/11/2023
Last updated
08/11/2023
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