Provider Demographics
NPI:1821594839
Name:SIBLEY, ROBERT LOYD NORMAN (LCMHC)
Entity Type:Individual
Prefix:
First Name:ROBERT
Middle Name:LOYD NORMAN
Last Name:SIBLEY
Suffix:
Gender:M
Credentials:LCMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9 THOMPSON ST
Mailing Address - Street 2:
Mailing Address - City:CHARLESTOWN
Mailing Address - State:MA
Mailing Address - Zip Code:02129-3617
Mailing Address - Country:US
Mailing Address - Phone:603-320-1123
Mailing Address - Fax:
Practice Address - Street 1:92 MAIN ST STE 102
Practice Address - Street 2:
Practice Address - City:NASHUA
Practice Address - State:NH
Practice Address - Zip Code:03060-2719
Practice Address - Country:US
Practice Address - Phone:951-547-2909
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-03-30
Last Update Date:2018-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH2019101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health