Provider Demographics
NPI:1053025338
Name:STIPA, ALEXIA NICOLE (BA)
Entity type:Individual
Prefix:MISS
First Name:ALEXIA
Middle Name:NICOLE
Last Name:STIPA
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 1:605 HILLSIDE AVE
Mailing Address - Street 2:
Mailing Address - City:WILMINGTON
Mailing Address - State:DE
Mailing Address - Zip Code:19805-1013
Mailing Address - Country:US
Mailing Address - Phone:215-205-0157
Mailing Address - Fax:
Practice Address - Street 1:605 HILLSIDE AVE
Practice Address - Street 2:
Practice Address - City:WILMINGTON
Practice Address - State:DE
Practice Address - Zip Code:19805-1013
Practice Address - Country:US
Practice Address - Phone:215-205-0157
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-01-11
Last Update Date:2023-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health