Provider Demographics
NPI:1114118874
Name:CIRABISI, CAROL (MS)
Entity Type:Individual
Prefix:
First Name:CAROL
Middle Name:
Last Name:CIRABISI
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2335 TAMIAMI TRL N
Mailing Address - Street 2:SUITE 303A
Mailing Address - City:NAPLES
Mailing Address - State:FL
Mailing Address - Zip Code:34103-4456
Mailing Address - Country:US
Mailing Address - Phone:239-434-5855
Mailing Address - Fax:
Practice Address - Street 1:2335 TAMIAMI TRL N
Practice Address - Street 2:SUITE 303A
Practice Address - City:NAPLES
Practice Address - State:FL
Practice Address - Zip Code:34103-4456
Practice Address - Country:US
Practice Address - Phone:239-434-5855
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-08-07
Last Update Date:2009-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMT 2084106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist