Individual
DR. LENORE MARIE TIPPING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
15 COLUMBIA ST, SUITE 402, BANGOR, ME 04401-6355
(207) 942-2151
(207) 942-2151
Mailing address
14 KELL ST, ORONO, ME 04473-4240
(207) 866-2061
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PS957
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
027482
ANTHEM
ME
01
—
2599104
AETNA
ME
Enumeration date
11/13/2006
Last updated
07/08/2007
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