Individual
MICHAEL TYRONE TIPPENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M. M. ED
Contact information
Practice address
8326 KELWOOD AVE, BATON ROUGE, LA 70806-4803
(225) 478-9685
Mailing address
8326 KELWOOD AVE, BATON ROUGE, LA 70806-4803
(225) 478-9685
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
03/28/2018
Last updated
03/19/2020
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