Provider Demographics
NPI:1942426820
Name:MIDDLEBROOK, SYLVIA (PHD)
Entity Type:Individual
Prefix:DR
First Name:SYLVIA
Middle Name:
Last Name:MIDDLEBROOK
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:SYLVIA
Other - Middle Name:
Other - Last Name:SIBLEY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3516 NE STALLINGS DR
Mailing Address - Street 2:
Mailing Address - City:NACOGDOCHES
Mailing Address - State:TX
Mailing Address - Zip Code:75965-8732
Mailing Address - Country:US
Mailing Address - Phone:936-560-0818
Mailing Address - Fax:936-560-5610
Practice Address - Street 1:3516 NE STALLINGS DR
Practice Address - Street 2:
Practice Address - City:NACOGDOCHES
Practice Address - State:TX
Practice Address - Zip Code:75965-8732
Practice Address - Country:US
Practice Address - Phone:936-560-0818
Practice Address - Fax:936-560-5610
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX23383103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist