| NPI | 1336245455 |
|---|---|
| Doing Business As | MARY BETH KIBORT, PSY.D., LP |
| Entity Type | Organization |
| Authorized Contact | MARY BETH KIBORT Clinical Psychologist 651-645-2890 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: MN LP4224) |
| Enumeration Date | 2006-09-15 |
| Last Update Date | 2020-08-22 |