Mary Beth Kibort, Llc in Saint Paul - Clinical
Mary Beth Kibort, Llc - NPI 1336245455
Mary Beth Kibort, Llc is a Clinical in Saint Paul, Minnesota. Mary Beth Kibort, Llc practices all healthcare services and medical treatments related to Clinical. The NPI Number for Mary Beth Kibort, Llc is 1336245455. The last update date is 2020-08-22.
Mary Beth Kibort, Llc's current location address is 821 Raymond Ave, Saint Paul, Minnesota. You can contact this provider via phone number 6516452890 and fax number 6516454603. The mailing address for Mary Beth Kibort, Llc is 821 Raymond Ave, Saint Paul, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Mary Beth Kibort, Llc |
|---|---|
| Address | 821 Raymond Ave, Saint Paul, Minnesota |
| Phone Number | 6516452890 |
| Fax Number | 6516454603 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CLINICAL P |
|---|---|
| Authorized Official Name | Kibort Mary Beth |
| Credentials | PSY.D. |
| Telephone Number | 6516452890 |
NPI Number Detail
| NPI Number | 1336245455 |
|---|---|
| Provider Enumeration Date | 2006-09-15 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 821 Raymond Ave |
|---|---|
| City | Saint Paul |
| State | Minnesota (MN) |
| Post Code | 551141503 |
| Phone Number | 6516452890 |
| Fax Number | 6516454603 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | LP4224 |
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Definition: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 103255 | MN | HEALTHPARTNERS | |
| 330LOKI | MN | BCBS | |
| 6157722 | MN | MEDICA/UBH | |
| 122502 | MN | UCARE |
Post Comment/ Review Below
What is the Mary Beth Kibort, Llc's unique identification number?
The Mary Beth Kibort, Llc has been assigned the NPI (National Provider Identifier) Number 1336245455 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please share the complete physical location address where Mary Beth Kibort, Llc's facilities are situated?
The facilities of Mary Beth Kibort, Llc are physically located at the following address: 821 Raymond Ave, Saint Paul, MN, 551141503.
What is Mary Beth Kibort, Llc's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Mary Beth Kibort, Llc is Clinical, and the taxonomy code that classifies this field of practice is 103Tc0700X.
When did the Mary Beth Kibort, Llc receive its 1336245455?
The Mary Beth Kibort, Llc was issued its 1336245455 on 2006-09-15, which is the date when the organization was assigned this unique identifier.
As of what date were the details pertaining to Mary Beth Kibort, Llc last refreshed?
The information related to the Mary Beth Kibort, Llc, including its address, specialty, and other relevant details, was last updated on 2020-08-22.
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