Individual
MAUREEN ALICE BIBBY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
121 BOONE ST, #36, JONESBOROUGH, TN 37659-1336
(423) 329-6057
Mailing address
PO BOX 36, JONESBOROUGH, TN 37659-0036
(423) 329-6057
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
2424
TN
Other
Enumeration date
07/22/2006
Last updated
12/29/2011
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