Organization
DEBORAH J. RIBNICK, PHD, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DEBORAH J RIBNICK PHD (PSYCHOLOGIST)
(775) 786-1234
Entity
Organization
Contact information
Practice address
5595 KIETZKE LN, SUITE 110E, RENO, NV 89511-3029
(775) 786-1234
(775) 852-7169
Mailing address
5595 KIETZKE LN, SUITE 110E, RENO, NV 89511-3029
(775) 786-1234
(775) 852-7169
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
PY0319
NV
261QM0850X
Adult Mental Health Clinic/Center
PY0319
NV
261QM0855X
Adolescent and Children Mental Health Clinic/Center
PY0319
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002616072
—
NV
01
—
34267
MEDICARE ID NUMBER
NV
Enumeration date
01/25/2008
Last updated
04/11/2014
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