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Organization

B JANET HIBBS PHD PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. B JANET HIBBS PHD (PC)
(215) 731-0773
Entity
Organization

Contact information

Practice address
2130 PINE ST, PHILADELPHIA, PA 19103-6535
(215) 731-0773
Mailing address
2130 PINE ST, PHILADELPHIA, PA 19103-6535
(215) 731-0773

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PS003912L
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
117398
PTAN MEDICARE
PA
Enumeration date
09/21/2007
Last updated
12/10/2012
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