Organization
EMPORIA PSYCHOLOGICAL SERVICES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TIMOTHY STEVEN SIPPOLA PHD (OWNER)
(620) 342-1998
Entity
Organization
Contact information
Practice address
1402 EXCHANGE CT, EMPORIA, KS 66801-5272
(620) 342-1998
Mailing address
1402 EXCHANGE CT, EMPORIA, KS 66801-5272
(620) 481-0100
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
0523
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
119025
BCBS OF KS
KS
01
—
P00285242
RAILROAD MEDICARE
KS
Enumeration date
11/09/2011
Last updated
02/11/2025
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