Individual
JUDITH ANN PHIBBS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
585 MAIN ST, SUITE 143, LAUREL, MD 20707-4354
(301) 490-0778
(301) 490-4663
Mailing address
585 MAIN ST, SUITE 143, LAUREL, MD 20707-4354
(301) 490-0779
(301) 490-4663
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
02277
MD
103TC0700X
Clinical Psychologist
Primary
02277
MD
Other
Enumeration date
05/03/2007
Last updated
03/03/2014
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