Doctor Name: | MS. JILL FARRELL BIEBER |
NPI Number: | 1538565809 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LMHC |
License Number: | 006230-1 |
Business Practice Address: | 817 Chestnut Ridge Rd Chestnut Ridge, NY - 109776314 |
Business Phone Number: | 8452637290 |
Business Fax Number: | |
Mailing Address: | 24 Haller Cres, CHESTNUT RIDGE |
State: | NY |
Postal Code: | 109776605 |
Phone Number: | 8454252388 |
Fax Number: | |
NPI Enumeration Date: | 11/13/2014 |
NPI Last Update Date: | 11/13/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | 006230-1 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |