Debra Lynn Stibick, Ph.D., LLC
Psychologist, Clinical in Pinellas Park, FL. Organization (NPI-2).
NPI number1629545629
StatusActive
Last updated in NPPESOct 28, 2018
Details
- NPI
- 1629545629
- Entity type
- Organization (NPI-2)
- Legal business name
- Debra Lynn Stibick, Ph.D., LLC
- Organization subpart
- No
- Enumeration date
- Oct 28, 2018
- Last updated
- Oct 28, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103TC0700X | Psychologist, Clinical | – | – | Yes |
Practice location
8130 66th St N Ste 10Pinellas Park, FL 33781-2111
Phone 520-490-2040 · Fax 727-565-4188
Mailing address
Po Box 3236Seminole, FL 33775-3236
Phone 520-490-2040 · Fax 727-565-4188
Authorized official
Debra Lynn Stibick
Psychologist/Owner
5204902040
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