Healthcare Provider Details

I. General information

NPI: 1730324351
Provider Name (Legal Business Name): MARGARET B TIPKA ATR, PC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/10/2008
Last Update Date: 06/08/2026
Certification Date: 06/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

46 RAVENNA ST STE A2
HUDSON OH
44236-3058
US

IV. Provider business mailing address

46 RAVENNA ST STE A2
HUDSON OH
44236-3058
US

V. Phone/Fax

Practice location:
  • Phone: 330-760-7890
  • Fax:
Mailing address:
  • Phone: 330-760-7890
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberE1800601
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: