Healthcare Provider Details

I. General information

NPI: 1568618536
Provider Name (Legal Business Name): ELIZABETH RIBICKI
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/11/2008
Last Update Date: 07/02/2026
Certification Date: 07/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

721 S A ST STE A
OXNARD CA
93030-7179
US

IV. Provider business mailing address

1853 IVES AVE SPC 23
OXNARD CA
93033-1871
US

V. Phone/Fax

Practice location:
  • Phone: 219-776-0198
  • Fax:
Mailing address:
  • Phone: 219-776-0198
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: