Individual
DR. JACALYN G TIPPEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
8739 INVERNESS PL, TUSCALOOSA, AL 35405-8958
(205) 242-7075
(205) 758-4310
Mailing address
8739 INVERNESS PL, TUSCALOOSA, AL 35405-8958
(205) 242-7075
(205) 758-4310
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2155
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
51532840
BLUE CROSS BLUE SHIELD
AL
Enumeration date
02/15/2007
Last updated
06/18/2008
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