Kibby-Faglier, Michelle Yvonne

Kibby-Faglier, Michelle Yvonne is an individual health care provider with primary practice located at 285 Lake Indian Hills Dr , Carbondale IL 62902-6184. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical Child & Adolescent, Behavioral Health & Social Service Providers / Clinical Neuropsychologist. Behavioral Health & Social Service Providers / Clinical Neuropsychologist is her primary health care specialty. Kibby-Faglier, Michelle Yvonne can be contacted via phone (618) 490-1263.

Contact Information

Primary practice address
285 Lake Indian Hills Dr Carbondale IL 62902-6184
Phone: (618) 490-1263
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical Child & Adolescent 103TC2200X 071.009508 Illinois
Behavioral Health & Social Service Providers / Clinical Neuropsychologist 103G00000X 071.009508 Illinois

Profile Details

NPI number 1477183556
LBN Legal business name Kibby-Faglier, Michelle Yvonne
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 17th, 2020
Last updated Jan 17th, 2020 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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