Provider Demographics
NPI:1790088268
Name:JANET HIBEL PH.D PA
Entity Type:Organization
Organization Name:JANET HIBEL PH.D PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JANET
Authorized Official - Middle Name:
Authorized Official - Last Name:HIBEL
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:561-694-6703
Mailing Address - Street 1:8259 N MILITARY TRL STE 9
Mailing Address - Street 2:
Mailing Address - City:WEST PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33410-6352
Mailing Address - Country:US
Mailing Address - Phone:561-694-6703
Mailing Address - Fax:561-694-0391
Practice Address - Street 1:8259 N MILITARY TRL STE 9
Practice Address - Street 2:
Practice Address - City:WEST PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33410-6352
Practice Address - Country:US
Practice Address - Phone:561-694-6703
Practice Address - Fax:561-694-0391
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-12-06
Last Update Date:2010-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPY0003785103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL75855Medicare UPIN