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Individual

DR. SETH MICHAEL TIPPIN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PSYD

Contact information

Practice address
1898 FORT RD, MH - 116, SHERIDAN, WY 82801-8320
(307) 672-3473
Mailing address
1898 FORT RD, MH - 116, SHERIDAN, WY 82801-8320
(307) 672-3473

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
490
WY

Other

Enumeration date
07/30/2008
Last updated
07/27/2010
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