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NPI Code Detail

MEDICARE: DR. BIBI STANG PH.D.

MEDICARE: DR. BIBI STANG 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
1103T00000XPsychologist4747AZ

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1679022206
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. BIBI STANG PH.D.
Provider Business Mailing Address
First Line : 222 W THOMAS RD STE 401
Second Line :
City : PHOENIX
State : AZ
Zip : 85013-4423
Country : US
Telephone Number : 602-406-3473
Fax Number : 602-406-4406
Provider Business Practice Location Address
First Line : 222 W THOMAS RD STE 401
Second Line :
City : PHOENIX
State : AZ
Zip : 85013-4423
Country : US
Telephone Number : 602-406-3473
Fax Number : 602-406-4406
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/23/2016
Last Update Date : 09/23/2016

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Directions to “ DR. BIBI STANG PH.D.” Practice Location

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