Doctor Name: | MS. JUDITH M RIBBENS |
NPI Number: | 1245493352 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.A. |
License Number: | 399-125 |
Business Practice Address: | 504 Lakeland Rd Shawano, WI - 541663836 |
Business Phone Number: | 7155265547 |
Business Fax Number: | 7255265547 |
Mailing Address: | 504 Lakeland Rd, SHAWANO |
State: | WI |
Postal Code: | 541663836 |
Phone Number: | 7155265547 |
Fax Number: | 7255265547 |
NPI Enumeration Date: | 07/08/2008 |
NPI Last Update Date: | 07/08/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | 399-125 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WI |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |