Kenneth Richard Gibson in Northville - Psychologist

Kenneth Richard Gibson - NPI 1457548067

Kenneth Richard Gibson is a Psychologist in Northville, Michigan. Kenneth Richard Gibson practices all healthcare services and medical treatments related to Psychologist. The NPI Number for Kenneth Richard Gibson is 1457548067. The last update date is 2007-09-27.

Kenneth Richard Gibson's current location address is 18471 Haggerty Rd, Northville, Michigan. You can contact this provider via phone number 2487356713 and fax number 2483496893. The mailing address for Kenneth Richard Gibson is 18471 Haggerty Rd, Northville, Michigan. To know further, please read the information below!

Provider Profile Detail

Provider Name Kenneth Richard Gibson
Address 18471 Haggerty Rd, Northville, Michigan
Phone Number 2487356713
Fax Number 2483496893
Sole Proprietor Y
Credentials PH.D.

NPI Number Detail

NPI Number 1457548067
Provider Enumeration Date 2007-09-27
Last Updated Date 2007-09-27

Provider Mailing Address Detail

Address 18471 Haggerty Rd
City Northville
State Michigan (MI)
Post Code 481688513
Phone Number 2487356713
Fax Number 2483496893

Provider's Primary Taxonomy Detail

Speciality Psychologist
Taxonomy 103T00000X
Licence No 6301002367
Definition:
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and proce

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FAQs about Kenneth Richard Gibson

What is the Kenneth Richard Gibson's 1457548067?

The Kenneth Richard Gibson's NPI (National Provider Identifier) Number is 1457548067. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).

Could you please provide the complete physical location address of Kenneth Richard Gibson?

The Kenneth Richard Gibson is physically situated at 18471 Haggerty Rd, in the city of Northville, state of MI, with the postal code 481688513.

What is the area of specialization for Kenneth Richard Gibson, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Kenneth Richard Gibson is Psychologist, and the corresponding taxonomy code that categorizes this area of expertise is 103T00000X.

On what date did the Kenneth Richard Gibson receive its 1457548067 assignment from the Centers for Medicare & Medicaid Services?

The Kenneth Richard Gibson was assigned its 1457548067 by the Centers for Medicare & Medicaid Services on 2007-09-27.

When was the Kenneth Richard Gibson's information last updated?

The Kenneth Richard Gibson's information was last updated on 2007-09-27.

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