Provider Demographics
NPI:1881363109
Name:DILBER, JOSEPHINE ANTONETTA
Entity type:Individual
Prefix:
First Name:JOSEPHINE
Middle Name:ANTONETTA
Last Name:DILBER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11439 ROSEHILL LAKE LN
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:TX
Mailing Address - Zip Code:77406-3506
Mailing Address - Country:US
Mailing Address - Phone:832-643-9246
Mailing Address - Fax:
Practice Address - Street 1:11439 ROSEHILL LAKE LN
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:TX
Practice Address - Zip Code:77406-3506
Practice Address - Country:US
Practice Address - Phone:832-643-9246
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-09-09
Last Update Date:2021-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX80801101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health