SARA J. W. BIEBL, PH.D., LICENSED PSYCHOLOGIST, PLLC


Address: 7900 Xerxes Ave S Ste 1125, Bloomington, MN 55431-1112
Phone: 9528542622

SARA J. W. BIEBL, PH.D., LICENSED PSYCHOLOGIST, PLLC (NPI# 1154885028) 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) 1154885028
Entity Type Organization
Organization Name SARA J. W. BIEBL, PH.D., LICENSED PSYCHOLOGIST, PLLC
Practice Address 7900 Xerxes Ave S Ste 1125
Bloomington
MN 55431-1112
Mailing Address 500 Utah Ave S
Golden Valley
MN 55426-1330
Practice Telephone 9528542622
Practice Fax Number 9528543293
Mailing Telephone 7013065645
Enumeration Date 2019-01-24
Last Update Date 2019-02-25
Authorized Official Name SARA J. W. BIEBL (CLINICAL PSYCHOLOGIST)
Authorized Official Telephone 7013065645
Authorized Official Credential PH.D.
Is Organization Subpart N

Taxonomy

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

Office Location

Street Address 7900 XERXES AVE S STE 1125
City BLOOMINGTON
State MN
Zip Code 55431-1112

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Taxonomy Information

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

Taxonomy Definition

Definition to come...

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1457609802 Jason Vasquez Psychologist 2416 Washington, A-3, Bloomington, IL 61704 2012-08-16
1710282058 Annorah Sheeran Moorman Psychologist 1319 Fell Ave, Bloomington, IL 61701-1828 2011-01-18
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Competitor

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City BLOOMINGTON
Zip Code 55431

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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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