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Individual

TIMOTHY SIPPOLA

Active
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Individual

TIMOTHY SIPPOLA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PH.D.

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
00523
KS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
119025
BC & BS OF KS
KS
01
48-1212043
AETNA 60054
KS
01
P00285242
RAIL ROAD MEDICARE
KS
Enumeration date
09/29/2006
Last updated
02/06/2025
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