Doctor Name: | DR. ROBERT FIEBIGER |
NPI Number: | 1083802185 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PH.D. |
License Number: | 00720 |
Business Practice Address: | 223 W Monroe Ave Kirkwood, MO - 631225817 |
Business Phone Number: | 6362743711 |
Business Fax Number: | |
Mailing Address: | 8412 Rutledge Rd, DITTMER |
State: | MO |
Postal Code: | 630232209 |
Phone Number: | 6362743711 |
Fax Number: | 6362742234 |
NPI Enumeration Date: | 10/15/2007 |
NPI Last Update Date: | 10/15/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TC0700X |
License Number: | 00720 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MO |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: |