Individual
MICHELE M BABB
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
LP0932
MN
103T00000X
Psychologist
Primary
P6052
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000389994
ANTHEM
OH
01
—
06732
PARAMOUNT
OH
Enumeration date
04/12/2006
Last updated
06/05/2008
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