Provider Demographics
NPI:1821101114
Name:HIBEL, JANET (PHD ABPP)
Entity Type:Individual
Prefix:DR
First Name:JANET
Middle Name:
Last Name:HIBEL
Suffix:
Gender:F
Credentials:PHD ABPP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
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
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-17
Last Update Date:2010-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPY0003785103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL75855Medicare ID - Type UnspecifiedPSYCHOLOGIST