Individual
CHARLES BIEBEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D
Contact information
Practice address
7400 NEW LA GRANGE RD, SUITE 404, LOUISVILLE, KY 40222-4870
(502) 426-4716
(502) 426-4717
Mailing address
7400 NEW LA GRANGE RD, SUITE 404, LOUISVILLE, KY 40222-4870
(502) 426-4716
(502) 426-4717
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
1661
KY
Other
Enumeration date
01/20/2012
Last updated
01/20/2012
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