Dr. Marica S. Tipton PH.D.
Professional Counselor in Brookfield, WI(View on Map)
Full Name
Dr. Marica Shava Tipton PH.D.
NPI Number
1467612168
NPI Type
Individual Provider
Gender
Female
Enumeration Date
06/16/2008
Specialties
(Taxonomies)Licenses
State
Wisconsin
License Number
4775-125
Contact
Information
Purpose
Mailing
Location
Address
2125 DERRIN LN
2125 DERRIN LN
City
Brookfield
Brookfield
State
WI
WI
Postal Code
53045-2151
53045-2151
Country
US
US
Telephone Number
(414) 297-7745
(414) 297-7745
Identifiers
Identifier
43715200
Identifier State
WI
Identifier Issuer
Unknown
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 10/18/2023