MRS. DIANE GALE TIBBITTS L.P.C. NPI 1538478854

NPI Information

NPI: 1538478854
Provider Name: MRS. DIANE GALE TIBBITTS, L.P.C.
Classification: Counselor - 101YM0800X
Entity Type: Individual

Specialization: Mental Health

Address:
720 CARDLEY AVE
MEDFORD, OR
ZIP 97504
Phone: (541) 772-7068
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MRS. Diane Gale Tibbitts, L.P.C. is a mental health counselor in Medford, OR. MRS. Diane Gale Tibbitts, L.P.C. NPI is 1538478854. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

720 CARDLEY AVE
MEDFORD, OR
ZIP 97504-124
Phone: (541) 772-7068

The enumeration date for this NPI number is 10/4/2010 and was last updated on 10/4/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. 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	101YM0800X	Counselor	Mental Health	CO851	OREGON	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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