Healthcare Provider Details

I. General information

NPI: 1710108691
Provider Name (Legal Business Name): DEBORAH J RIBNICK PHD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/01/2007
Last Update Date: 12/16/2025
Certification Date: 12/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

770 TRADEMARK DR STE 228
RENO NV
89521-5926
US

IV. Provider business mailing address

PO BOX 18611
RENO NV
89511-0611
US

V. Phone/Fax

Practice location:
  • Phone: 775-786-1234
  • Fax: 775-852-7169
Mailing address:
  • Phone: 775-786-1234
  • Fax: 775-852-7169

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code103TF0200X
TaxonomyForensic Psychologist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code103TF0000X
TaxonomyFamily Psychologist
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code103TC2200X
TaxonomyClinical Child & Adolescent Psychologist
License Number
License Number State
# 5
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License NumberPY0319
License Number StateNV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: