NPI 1992726988 · live from the CMS NPI Registry
Maureen Alice Bibby, Ph.D.
Psychologist in Jonesborough, TN. National Provider Identifier 1992726988, active.
NPI record
| NPI | 1992726988 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Psychologist 103T00000X |
| Practice location | 121 Boone St, #36, Jonesborough, TN 37659 |
| Practice phone | 423-329-6057 |
| Mailing address | Po Box 36, Jonesborough, TN 37659 |
| Enumerated | July 22, 2006 |
| Last updated | December 29, 2011 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychologist primary | 103T00000X | 2424 (TN) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.