DR. ALEXIS LYBROOK TAUBERT, PH.D. - NPI NUMBER 1851412456

Summary

Provider Name: DR. ALEXIS LYBROOK TAUBERT, PH.D.

NPI Number: 1851412456

Clasification: Psychologist (103TC0700X)

Specialization: Clinical

Address:
1850 W DIVISION ST
#4B
CHICAGO, IL
ZIP 60622

Phone Number: (773) 248-4544



Detailed Information

DR. Alexis Lybrook Taubert, PH.D. is a clinical psychologist in Chicago, IL. The assigned NPI number for this provider is 1851412456 and is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business address is:

1850 W DIVISION ST
#4B
CHICAGO, IL
ZIP 60622-426
Phone: (773) 248-4544
Fax: (773) 227-2598

The enumeration date for this NPI number is 4/2/2007 and was last updated on 7/8/2007.

Map - Location of Practice

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Taxonomy Codes

The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1 103TC0700X Psychologist Clinical IL Yes

NPI Record

No. Field Name Field Value
1 NPI 1851412456
2 Entity Type Code 1
3 Provider Last Name Legal Name TAUBERT
4 Provider First Name ALEXIS
5 Provider Middle Name LYBROOK
6 Provider Name Prefix Text DR.
7 Provider Credential Text PH.D.
8 Provider First Line Business Practice Location Address 1850 W DIVISION ST
9 Provider Second Line Business Practice Location Address #4B
10 Provider Business Practice Location Address City Name CHICAGO
11 Provider Business Practice Location Address State Name IL
12 Provider Business Practice Location Address Postal Code 606223426
13 Provider Business Practice Location Address Country Code If outside U S US
14 Provider Business Practice Location Address Telephone Number 7732484544
15 Provider Business Practice Location Address Fax Number 7732272598
16 Provider Enumeration Date 4/2/2007
17 Last Update Date 7/8/2007
18 Provider Gender Code F
19 Healthcare Provider Taxonomy Code 1 103TC0700X
20 Provider License Number State Code 1 IL
21 Healthcare Provider Primary Taxonomy Switch 1 Y
22 Is Sole Proprietor Y

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This page was last updated on: 3/11/2014
All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.