Individual
DEIDRA L BIBBS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD, HSPP, NCSP
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
20043964B
IN
103T00000X
Psychologist
40952
TX
103TC0700X
Clinical Psychologist
Primary
071011463
IL
103TS0200X
School Psychologist
—
—
Other
Enumeration date
05/04/2021
Last updated
07/27/2026
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