Individual
DR. TASHA HIBBERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY. D., MCAP
Contact information
Practice address
15263 SUMMER LAKE DR, DELRAY BEACH, FL 33446-3452
(305) 812-9111
Mailing address
15263 SUMMER LAKE DR, DELRAY BEACH, FL 33446-3452
(305) 812-9111
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
MCAP100092
FL
103TC0700X
Clinical Psychologist
PY12400
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MCAP100092
THE FLORIDA CERTIFICATION BOARD
FL
01
—
PY12400
LICENSED PSYCHOLOGIST
FL
Enumeration date
12/14/2007
Last updated
10/31/2024
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