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NPI Code Detail

MEDICARE: DANIEL C BIBER, PHD, PA

MEDICARE: DANIEL C BIBER, PHD, PA
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 Psychologist12NC

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 : 1912172628
Entity Type Code : Organization
Provider Name (Legal Business Name) : DANIEL C BIBER, PHD, PA
Provider Business Mailing Address
First Line : 1717 CLEVELAND AVE
Second Line :
City : CHARLOTTE
State : NC
Zip : 28203-4735
Country : US
Telephone Number : 704-334-4300
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 : 704-334-4300
Fax Number : 704-334-8639
Authorized Official
Title or Position : PRESIDENT
Name : DR. DANIEL C BIBER
Credential : PHD
Telephone Number : 704-334-4300
Provider Enumeration Date : 04/23/2008
Last Update Date : 06/12/2008

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1629020805 — CAROLINE MORGAN BIBER MSW, LCSW
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1477591550 — MS. PENNI ACKERMAN POWELL M.S.W., L.C.S.W
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1255408035 — KATHERINE ELIZABETH JONES LISW-CP
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1316285414 — SOLAS COUNSELING
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