Individual
KATHY L. TIPPS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
3131 TURTLE CREEK BLVD, SUITE 1026, DALLAS, TX 75219-5426
(214) 522-0931
(214) 522-2507
Mailing address
3131 TURTLE CREEK BLVD, SUITE 1026, DALLAS, TX 75219-5426
(214) 522-0931
(214) 522-2507
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
2-5443
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00U95P
BCBS
TX
Enumeration date
08/13/2006
Last updated
07/08/2007
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