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NPI Code Detail

MEDICARE: ALEXANDER TIPTON AMFT

MEDICARE:   ALEXANDER  TIPTON  AMFT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1106H00000XMarriage & Family TherapistAMFT124185

General Provider Information

NPI Number : 1184380826
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALEXANDER TIPTON AMFT
Provider Business Mailing Address
First Line : PO BOX 287
Second Line :
City : BURBANK
State : CA
Zip : 91503-0287
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 351 W CEDAR AVE
Second Line :
City : BURBANK
State : CA
Zip : 91506-2510
Country : US
Telephone Number : 818-391-9209
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/16/2021
Last Update Date : 11/16/2021

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Directions to “ ALEXANDER TIPTON AMFT” Practice Location

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