Provider Demographics
NPI:1376273060
Name:TRIEBEL NEUROPSYCH SERVICES LLC
Entity Type:Organization
Organization Name:TRIEBEL NEUROPSYCH SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICAL PSYCHOLOGIST
Authorized Official - Prefix:
Authorized Official - First Name:KRISTEN
Authorized Official - Middle Name:
Authorized Official - Last Name:TRIEBEL
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD
Authorized Official - Phone:205-664-4010
Mailing Address - Street 1:1940 HIGHWAY 33 UNIT A
Mailing Address - Street 2:
Mailing Address - City:PELHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35124-4887
Mailing Address - Country:US
Mailing Address - Phone:205-664-4010
Mailing Address - Fax:205-664-9928
Practice Address - Street 1:1940 HIGHWAY 33 UNIT A
Practice Address - Street 2:
Practice Address - City:PELHAM
Practice Address - State:AL
Practice Address - Zip Code:35124-4887
Practice Address - Country:US
Practice Address - Phone:205-664-4010
Practice Address - Fax:205-664-9928
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-06-15
Last Update Date:2022-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103G00000XBehavioral Health & Social Service ProvidersClinical NeuropsychologistGroup - Single Specialty