Stephanie Lynn Giboney, PLPC
Individual provider Active NPI Counselor · Webster Groves, MO
NPI 1386080331 · NPPES record last updated Aug 25, 2013
Key facts
- NPI
- 1386080331
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Counselor 101Y00000X
- Practice address
- 330 N Gore Ave
Webster Groves, MO 63119-1600 - Phone
- (314) 919-4732
- NPI assigned
- May 17, 2013
- 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)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | Yes |
Addresses
Primary practice location
330 N Gore Ave
Webster Groves, MO 63119-1600
Mailing address
330 N Gore Ave
Webster Groves, MO 63119-1600
Phone (314) 919-4732
Other providers in Webster Groves, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 25, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.