Shantrice Lashaun Gibson in Nellis Afb - Psychologist

Shantrice Lashaun Gibson - NPI 1932362001

Shantrice Lashaun Gibson is a Psychologist in Nellis Afb, Nevada. Shantrice Lashaun Gibson practices all healthcare services and medical treatments related to Psychologist. The NPI Number for Shantrice Lashaun Gibson is 1932362001. The last update date is 2023-04-04.

Shantrice Lashaun Gibson's current location address is 4700 Las Vegas Blvd N, Nellis Afb, Nevada. You can contact this provider via phone number 7026532273. The mailing address for Shantrice Lashaun Gibson is 4700 Las Vegas Blvd N, Nellis Afb, Nevada. To know further, please read the information below!

Provider Profile Detail

Provider Name Shantrice Lashaun Gibson
Address 4700 Las Vegas Blvd N, Nellis Afb, Nevada
Phone Number 7026532273
Fax Number
Sole Proprietor N
Credentials PSY.D

NPI Number Detail

NPI Number 1932362001
Provider Enumeration Date 2008-07-08
Last Updated Date 2023-04-04

Provider Mailing Address Detail

Address 4700 Las Vegas Blvd N
City Nellis Afb
State Nevada (NV)
Post Code 891916600
Phone Number 7026532273
Fax Number

Provider's Primary Taxonomy Detail

Speciality Psychologist
Taxonomy 103T00000X
Licence No 795
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 Shantrice Lashaun Gibson

What is the unique provider identifier assigned to Shantrice Lashaun Gibson?

The Shantrice Lashaun Gibson has been issued the NPI (National Provider Identifier) 1932362001 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you share the physical location details of Shantrice Lashaun Gibson?

The Shantrice Lashaun Gibson is situated at 4700 Las Vegas Blvd N, in the city of Nellis Afb, state of NV, with the zip code 891916600.

What is Shantrice Lashaun Gibson's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for Shantrice Lashaun Gibson is Psychologist, and the taxonomy classification code that categorizes this area of expertise is 103T00000X.

On what date did the Shantrice Lashaun Gibson receive the assignment of its 1932362001 from the Centers for Medicare & Medicaid Services?

The Shantrice Lashaun Gibson was issued its 1932362001 by the Centers for Medicare & Medicaid Services on 2008-07-08.

As of what date were the details pertaining to Shantrice Lashaun Gibson last refreshed?

The information related to the Shantrice Lashaun Gibson, including its address, specialty, and other relevant details, was last updated on 2023-04-04.

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