Provider Demographics
NPI:1346328572
Name:STRIEBEL, JOHN B (PSYD)
Entity Type:Individual
Prefix:DR
First Name:JOHN
Middle Name:B
Last Name:STRIEBEL
Suffix:
Gender:M
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:409 N JEFFERS ST
Mailing Address - Street 2:
Mailing Address - City:NORTH PLATTE
Mailing Address - State:NE
Mailing Address - Zip Code:69101-3939
Mailing Address - Country:US
Mailing Address - Phone:308-532-5565
Mailing Address - Fax:308-532-5575
Practice Address - Street 1:409 N JEFFERS ST
Practice Address - Street 2:
Practice Address - City:NORTH PLATTE
Practice Address - State:NE
Practice Address - Zip Code:69101-3939
Practice Address - Country:US
Practice Address - Phone:308-532-5565
Practice Address - Fax:308-532-5575
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-02
Last Update Date:2016-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE311103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical