Organization
ALEXIS LYBROOK TAUBERT, PH.D, LTD.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALEXIS LYBROOK TAUBERT PH.D. (PRESIDENT)
(773) 248-4544
Entity
Organization
Contact information
Practice address
1305 S MICHIGAN AVE APT 1309, CHICAGO, IL 60605-3402
(773) 227-7597
Mailing address
1305 S MICHIGAN AVE APT 1309, CHICAGO, IL 60605-3402
(773) 227-7597
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
—
251S00000X
Community/Behavioral Health Agency
060-007678
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
304506378
—
IL
Enumeration date
04/02/2007
Last updated
10/01/2025
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