Bobbi Skinner
Individual provider Active NPI Psychologist · Carthage, IL
NPI 1699377309 · NPPES record last updated Nov 9, 2020
Key facts
- NPI
- 1699377309
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychologist 103T00000X
- Practice address
- 600 Miller St
Carthage, IL 62321-1129 - Phone
- (217) 357-2136
- NPI assigned
- Nov 9, 2020
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Psychologist | 103T00000X | Yes |
Addresses
Primary practice location
600 Miller St
Carthage, IL 62321-1129
Mailing address
600 Miller St
Carthage, IL 62321-1129
Other providers in Carthage, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 9, 2020. 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.