Individual
DR. MICHAEL PAUL BIBBO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ED.D.
Contact information
Practice address
1605 E GLENMONT LN, WEST CHESTER, PA 19380-6677
(610) 436-4845
Mailing address
1605 E GLENMONT LN, WEST CHESTER, PA 19380-6677
(610) 436-4845
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
PS002642L
PA
Other
Enumeration date
04/10/2007
Last updated
07/08/2007
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