Provider Demographics
NPI:1861528762
Name:TAPIA, ELIBET (BA)
Entity type:Individual
Prefix:MS
First Name:ELIBET
Middle Name:
Last Name:TAPIA
Suffix:
Gender:F
Credentials:BA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:724 N ALTA AVE
Mailing Address - Street 2:
Mailing Address - City:DINUBA
Mailing Address - State:CA
Mailing Address - Zip Code:93618-3205
Mailing Address - Country:US
Mailing Address - Phone:559-596-0200
Mailing Address - Fax:559-596-0500
Practice Address - Street 1:724 N ALTA AVE
Practice Address - Street 2:
Practice Address - City:DINUBA
Practice Address - State:CA
Practice Address - Zip Code:93618-3205
Practice Address - Country:US
Practice Address - Phone:559-596-0200
Practice Address - Fax:559-596-0500
Is Sole Proprietor?:No
Enumeration Date:2007-02-26
Last Update Date:2009-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health