NICOLE PERNOD-LIBOY


Address: 1965 Jefferson Davis Hwy, Fredericksburg, VA 22401-6213
Phone: 5407350560

NICOLE PERNOD-LIBOY (NPI# 1093259590) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1093259590
Entity Type Individual
Full Name NICOLE PERNOD-LIBOY
Credential PSY.D.
Practice Address 1965 Jefferson Davis Hwy
Fredericksburg
VA 22401-6213
Practice Telephone 5407350560
Mailing Telephone 5407350560
Enumeration Date 2016-12-19
Last Update Date 2016-12-19
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103TC0700X Psychologist
Specialization: Clinical
0810005594 VA Behavioral Health & Social Service Providers

Office Location

Street Address 1965 JEFFERSON DAVIS HWY
City FREDERICKSBURG
State VA
Zip Code 22401-6213

Providers in the same location

NPI Name Taxonomy Address Enumeration
1386678811 Heather Rene O'quinn Chiropractor 1965 Jefferson Davis Hwy, Suite 200b, Fredericksburg, VA 22401-6213 2006-07-10
1063921898 Carrie A Schaefer Nurse Practitioner 1965 Jefferson Davis Hwy, Fredericksburg, VA 22401-6213 2017-09-25
1821527516 Therese Podgorski Registered Nurse 1965 Jefferson Davis Hwy, Fredericksburg, VA 22401 2017-06-07
1104293711 Crystal Chance Social Worker 1965 Jefferson Davis Hwy, Fredericksburg, VA 22401 2015-08-31
1346590510 360 Health and Rehab Chiropractor 1965 Jefferson Davis Hwy, Ste 200b, Fredericksburg, VA 22401 2012-09-14
1386965473 Son T Duong Dentist 1965 Jefferson Davis Hwy, Suite 100, Fredericksburg, VA 22401 2010-06-13
1467788687 Sarah-ann Eng Chiropractor 1965 Jefferson Davis Hwy, Suite 2008, Fredericksburg, VA 22401 2009-10-22
1790917540 Accident, Injury & Pain Wellness Center, P.C. Chiropractor 1965 Jefferson Davis Hwy, Suite 200b, Fredericksburg, VA 22401-6213 2009-08-12
1073778973 Jonathan Yoder Nurse Practitioner 1965 Jefferson Davis Hwy, Suite 100, Fredericksburg, VA 22401-3353 2008-07-21
1306017959 John D. Mandeville Family Medicine 1965 Jefferson Davis Hwy, Fredericksburg, VA 22401-6213 2008-03-21
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1992313415 Amanda Dodd Behavior Technician 1411 Princess Anne, Fredericksburg, VA 22401 2020-07-21
1215567326 Britteny Whitaker Behavior Technician 1411 Princess Ann, Fredericksburg, VA 22401 2020-01-17
1396389433 Ashley Stanevich Behavior Technician 1411 Princess Anne Lane, Fredericksburg, VA 22401 2019-11-01
1265074231 Anna Kelleher Behavior Technician 1411 Princess Anna St, Frericksburg, VA 22401 2019-10-11
1649824152 Zaan Z Ali Audiologist 1708 Fall Hill Ave Suite 100, Fredericksburg, VA 22401 2019-08-01
1790342426 Michael Williams Jr. Physician Assistant 411 B Park Hill Dr, Frederickburg, VA 22401 2019-05-29
1285290965 Ann Damalie Namabiro Behavior Technician 1411 Princess Ann Street, Fredericksburg, VA 22401 2019-05-17
1922579630 Primary and Urgent Care LLC Family Medicine Primary and Urgent Care LLC, 2306 Plank Road Ste 100, Fredericksburg, VA 22401 2018-12-07
1003323056 Mariah Mazzariello Behavior Technician 1411 Princess Anne Stree, Fredericksburg, VA 22401 2017-12-29
1336655281 Hina Zafar Behavior Technician 1411 Princess Anne St., Fredericksburg, VA 22401 2017-12-14
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Taxonomy Information

Taxonomy Code 103TC0700X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization Clinical

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1649524604 Sarah F Fischer-etu Psychologist 510 Princess Anne St Ste 101, Fredericksburg, VA 22401-6077 2012-10-30
1265798102 Simply Counseling, LLC Psychologist 10500 Wakeman Dr Ste 240, Fredericksburg, VA 22407-8012 2012-04-04
1790093961 Patrice J Berry Psychologist 615 Jefferson Davis Hwy, Ste 202, Fredericksburg, VA 22401-8407 2010-09-21
1568777621 Elisabeth Margaret Jerome Psychologist 510 Princess Anne St, Suite 101, Fredericksburg, VA 22401-6077 2010-08-13
1467766386 Robyn A Van Brunt Psychologist 615 Jefferson Davis Hwy Ste 101, Fredericksburg, VA 22401-8407 2010-08-03
1902074982 Laurencia C.d.l. Dusantos Psychologist 904 Princess Anne St Ste 402, Fredericksburg, VA 22401-5804 2008-02-13
1538359054 William Edward Lynch IIi Psychologist 4607 Harrison Rd, Fredericksburg, VA 22408-1838 2007-07-31
1245420819 Cynthia Gustafson Repanshek Psychologist 404 Chatham Square Office Park, Fredericksburg, VA 22405-2544 2007-07-30
1003979428 Peak Mental Health Services, Pllc Psychologist 1133 Heatherstone Dr Ste 102, Fredericksburg, VA 22407-4828 2006-12-18
1124197579 Michelle Sjolinder Psychologist 4020 Plank Rd, Unit A, Fredericksburg, VA 22407-4800 2006-11-07
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Competitor

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City FREDERICKSBURG
Zip Code 22401

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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