Doctor Name: | PEGGY L LIBEL |
NPI Number: | 1538205786 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LMLP |
License Number: | 920 |
Business Practice Address: | 1301 N 2nd St Atchison, KS - 660021202 |
Business Phone Number: | 9133671593 |
Business Fax Number: | 9133671627 |
Mailing Address: | Po Box 324, WATHENA |
State: | KS |
Postal Code: | 660900324 |
Phone Number: | 7859897979 |
Fax Number: | |
NPI Enumeration Date: | 01/29/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TC0700X |
License Number: | 920 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | KS |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: |