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NPI Code Detail

MEDICARE: DR. ANTHONY M ZIPPLE SC.D.

MEDICARE:  DR. ANTHONY M ZIPPLE  SC.D.
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
1103TH0100XHealth Service Psychologist4628MA

General Provider Information

NPI Number : 1790493658
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ANTHONY M ZIPPLE SC.D.
Provider Business Mailing Address
First Line : 1801 ROUND RIDGE RD
Second Line :
City : LOUISVILLE
State : KY
Zip : 40207-1607
Country : US
Telephone Number : 502-442-6371
Fax Number :
Provider Business Practice Location Address
First Line : 1801 ROUND RIDGE RD
Second Line :
City : LOUISVILLE
State : KY
Zip : 40207-1607
Country : US
Telephone Number : 502-442-6371
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/09/2022
Last Update Date : 11/09/2022

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Directions to “ DR. ANTHONY M ZIPPLE SC.D.” Practice Location

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