DR. ALEXIS LYBROOK TAUBERT, PH.D. - NPI NUMBER 1851412456
Provider Name: DR. ALEXIS LYBROOK TAUBERT, PH.D.
NPI Number: 1851412456
Clasification: Psychologist (103TC0700X)
1850 W DIVISION ST
Phone Number: (773) 248-4544
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
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
||MS. MICHELLE T FRANK, PSY.D.
||AGAVE STUDIO, LLC
||DR. PAUL MICHAEL MARTIN, PSYD
||DR. KATHRYN MCLEAN, PSY.D.
||DR. JANEIL NELLIS RUIZ, PSY.D.
||DR. LAUREN ANNE AXTON, PSY.D.
The following information regarding the scope of practice of this provider is available:
||Entity Type Code
||Provider Last Name Legal Name
||Provider First Name
||Provider Middle Name
||Provider Name Prefix Text
||Provider Credential Text
||Provider First Line Business Practice Location Address
||1850 W DIVISION ST
||Provider Second Line Business Practice Location Address
||Provider Business Practice Location Address City Name
||Provider Business Practice Location Address State Name
||Provider Business Practice Location Address Postal Code
||Provider Business Practice Location Address Country Code If outside U S
||Provider Business Practice Location Address Telephone Number
||Provider Business Practice Location Address Fax Number
||Provider Enumeration Date
||Last Update Date
||Provider Gender Code
||Healthcare Provider Taxonomy Code 1
||Provider License Number State Code 1
||Healthcare Provider Primary Taxonomy Switch 1
||Is Sole Proprietor
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This page was last updated on: 12/10/2014
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