Doctor Name: | ROBERT CHRISTOPHER BIBBY |
NPI Number: | 1184682072 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PSYD, HSPP |
License Number: | 20041817 |
Business Practice Address: | 2134 Mary Sherman Dr Sullivan, IN - 478827625 |
Business Phone Number: | 8122686376 |
Business Fax Number: | 8122686377 |
Mailing Address: | Po Box 4323, TERRE HAUTE |
State: | IN |
Postal Code: | 478040323 |
Phone Number: | 8122318323 |
Fax Number: | 8122318400 |
NPI Enumeration Date: | 05/02/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TC0700X |
License Number: | 20041817 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IN |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: |