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NPI Code Detail

MEDICARE: DR. DANIEL CHARLES BIBER PH.D.

MEDICARE: DR. DANIEL CHARLES BIBER PH.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1103TC0700XClinical Psychologist459NC
2106H00000XMarriage & Family Therapist20NC

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
103113OTHERNCBLUE CROSS
2C000001428OTHERNCTRICARE
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1588669386
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. DANIEL CHARLES BIBER PH.D.
Provider Business Mailing Address
First Line : 1717 CLEVELAND AVE
Second Line :
City : CHARLOTTE
State : NC
Zip : 28203-4735
Country : US
Telephone Number : 794-334-4300
Fax Number : 704-334-8639
Provider Business Practice Location Address
First Line : 1717 CLEVELAND AVE
Second Line :
City : CHARLOTTE
State : NC
Zip : 28203-4735
Country : US
Telephone Number : 794-334-4300
Fax Number : 704-334-8639
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/17/2005
Last Update Date : 12/21/2010

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