Search › Illinois › 103G00000X
Michelle Kibby-Faglier
NPI 1477183556 · on the registry since 2020
Practice
- Address
- 285 Lake Indian Hills Dr
Carbondale, IL 62902 - Phone
- (618) 490-1263
- Organisation at this address
- Child And Adolescent Neuropsychology Services Of Southern Illinois, Pl
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 103G00000X
103G00000X
- Also registered as
- 103TC2200X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2020-01-17
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois