Healthcare Provider Details

I. General information

NPI: 1083679211
Provider Name (Legal Business Name): CHRISTY MICHELLE FIBER SIGMON PSY.D
Entity Type: Individual
Gender: Female
Sole Proprietor: X

Provider Other Name: CHRISTY MICHELLE FIBER PSYD

II. Dates (important events)

Enumeration Date: 04/19/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

751 S BASCOM AVE PSYCHOLOGY SERVICES DEPARTMENT
SAN JOSE CA
95128-2604
US

IV. Provider business mailing address

PO BOX 1266
DANVILLE CA
94526-8266
US

V. Phone/Fax

Practice location:
  • Phone: 408-885-5000
  • Fax:
Mailing address:
  • Phone: 925-314-0874
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number20740
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: