Search › Idaho › 1041C0700X
Terry Tippery, LCSW
NPI 1255631180 · on the registry since 2010 · sole proprietor
Practice
- Address
- 2424 Bank Dr
Boise, ID 83705 - Phone
- (208) 342-3612
- Fax
- (208) 342-0327
Registry record
- Primary taxonomy
- 1041C0700X
1041C0700X
- Licence states on file
- ID
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2010-10-26
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho