Provider Demographics
NPI:1962898544
Name:SIBERT, ROBIN BROOKE (PSYD)
Entity type:Individual
Prefix:
First Name:ROBIN
Middle Name:BROOKE
Last Name:SIBERT
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:ROBIN
Other - Middle Name:BROOKE
Other - Last Name:SIBERT
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:PSYD
Mailing Address - Street 1:10300 NORTH CENTRAL EXPRESSWAY #280
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75231
Mailing Address - Country:US
Mailing Address - Phone:214-265-6051
Mailing Address - Fax:214-265-6052
Practice Address - Street 1:10300 NORTH CENTRAL EXPRESSWAY #280
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75231
Practice Address - Country:US
Practice Address - Phone:214-265-6051
Practice Address - Fax:214-265-6052
Is Sole Proprietor?:No
Enumeration Date:2015-04-10
Last Update Date:2015-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX34378103TS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TS0200XBehavioral Health & Social Service ProvidersPsychologistSchool