Active NPIIndividual provider

Laura Theodor Shibles, PHD

Psychologist, Clinical in Newton, Massachusetts

NPI Number1538110614
Practice location
10 Langley RD, Ste 300, Newton, MA 02459-1972
Fax
860-510-0020
Last updated
December 15, 2009

Laura Theodor Shibles is a Psychologist, Clinical based in Newton, MA. Laura Theodor Shibles practices in Newton, MA and has the professional credentials of PHD. The NPI Number for Laura Theodor Shibles is 1538110614 and holds a License No. 7026 (MA). The current practice location address for Laura Theodor Shibles is 10 Langley RD, Ste 300, Newton, MA 02459-1972 and can be reached out via phone at 800-370-3651 and via fax at 860-510-0020.

Provider Profile Details

NPI Number
1538110614
Provider Name
Laura Theodor Shibles
Credential
PHD
Provider Entity Type
Individual
Gender
Female
Address
10 Langley RD, Ste 300, Newton, MA 02459-1972
Phone Number
800-370-3651
Fax Number
860-510-0020
Primary Taxonomy
Psychologist, Clinical · 103TC0700X
Sole Proprietor
No
Other Names
-- Laura Theodor, PHD (Professional Name)
Provider Enumeration Date
May 13, 2006
Last Update Date
December 15, 2009
NPI Status
Active

Provider Business Practice Location Address Details

Address
10 Langley RD
Ste 300
Newton, MA 02459-1972
City
Newton
Zip
02459-1972
Phone Number
800-370-3651
Fax Number
860-510-0020
Newton, MA 02459Get directions →

Provider Business Mailing Address Details

Address
20 Research Pkwy
Suite C
Old Saybrook, CT 06475-4214
City
Old Saybrook
State
CT
Zip
06475-4214
Phone Number
800-370-3651
Fax Number
860-510-0020

License Information

License Number (1)
7026
License State (1)
MA
Taxonomy (1)
Psychologist · 103T00000X
License Number (2)
7026
License State (2)
MA
Taxonomy (2)
Psychologist, Clinical · 103TC0700X · Primary
License Number (3)
009601
License State (3)
NY
Taxonomy (3)
Psychologist, Clinical · 103TC0700X

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Laura Theodor Shibles, PHD?

The NPI number of Laura Theodor Shibles, PHD is 1538110614. It was assigned on May 13, 2006 and is currently active in the NPPES registry.

What is the specialty of Laura Theodor Shibles, PHD?

Laura Theodor Shibles, PHD is registered under the primary taxonomy Psychologist, Clinical (code 103TC0700X), licensed in MA under license number 7026.

Where does Laura Theodor Shibles, PHD practice?

The practice location is 10 Langley RD, Ste 300, Newton, MA 02459-1972. The office can be reached at 800-370-3651 (phone) or 860-510-0020 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1538110614 directly on the NPPES registry website.

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