Individual
DR. DANIEL CHARLES BIBER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
1717 CLEVELAND AVE, CHARLOTTE, NC 28203-4735
(794) 334-4300
(704) 334-8639
Mailing address
1717 CLEVELAND AVE, CHARLOTTE, NC 28203-4735
(794) 334-4300
(704) 334-8639
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
459
NC
106H00000X
Marriage & Family Therapist
20
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
03113
BLUE CROSS
NC
05
—
6000184
—
NC
01
—
C000001428
TRICARE
NC
Enumeration date
06/17/2005
Last updated
12/21/2010
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