Provider Demographics
NPI:1215938642
Name:TIPPETT, GUAY
Entity type:Individual
Prefix:
First Name:GUAY
Middle Name:
Last Name:TIPPETT
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1301 S BROWNE ST
Mailing Address - Street 2:
Mailing Address - City:SPOKANE
Mailing Address - State:WA
Mailing Address - Zip Code:99204-3633
Mailing Address - Country:US
Mailing Address - Phone:509-926-6176
Mailing Address - Fax:
Practice Address - Street 1:521 N ARGONNE RD
Practice Address - Street 2:B104
Practice Address - City:SPOKANE VALLEY
Practice Address - State:WA
Practice Address - Zip Code:99212-2868
Practice Address - Country:US
Practice Address - Phone:509-926-6176
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-08-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health