Christie Smith Bibeau, PHD

Individual provider Active NPI Psychologist · Conifer, CO

NPI 1245434687 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1245434687
Entity type
Individual (NPI type 1)
Primary specialty
Psychologist 103T00000X
License
1888 (CO)
Practice address
9767 Rhodus St Ste B
Conifer, CO 80433-9055
Phone
(303) 881-7740
Fax
(303) 838-3423
NPI assigned
Jun 11, 2007
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Doctor of Philosophy

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 1888 CO Yes

Addresses

Primary practice location

9767 Rhodus St Ste B
Conifer, CO 80433-9055

Mailing address

29991 Nancys LN
Conifer, CO 80433-8114
Phone (303) 838-3424

Other providers in Conifer, CO

All providers in Conifer, CO · Psychologist in Colorado

Sources for this page

Verify at the official NPI Registry.