Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 101YP2500X | Professional Counselor |
NPI | 1003493412 |
---|---|
Provider Name | Ruth H Bybee |
First Address | Norfolk, VA 23502-0020 |
Second Address | Norfolk, VA 23502-0020 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 24/03/2021 |
Last Update Date | 28/03/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0701010345 | VA DEPT OF HEALTH PROFESSIONALS (01) | VA |