Provider Demographics
NPI:1558003772
Name:BIBBS, RYAN (BA PSYCHOLOGY)
Entity Type:Individual
Prefix:
First Name:RYAN
Middle Name:
Last Name:BIBBS
Suffix:
Gender:M
Credentials:BA PSYCHOLOGY
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1041 NORSIS DR
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15220-2822
Mailing Address - Country:US
Mailing Address - Phone:412-215-6942
Mailing Address - Fax:
Practice Address - Street 1:1041 NORSIS DR
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15220-2822
Practice Address - Country:US
Practice Address - Phone:412-215-6942
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-04-08
Last Update Date:2022-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health