William Gibson in Canandaigua - Clinical

William Gibson - NPI 1962439059

William Gibson is a Clinical in Canandaigua, New York. William Gibson practices all healthcare services and medical treatments related to Clinical. The NPI Number for William Gibson is 1962439059. The last update date is 2011-03-01.

William Gibson's current location address is 400 Fort Hill Ave, Canandaigua, New York. You can contact this provider via phone number 5853937496 and fax number 5853937429. The mailing address for William Gibson is 400 Fort Hill Ave, Canandaigua, New York. To know further, please read the information below!

Provider Profile Detail

Provider Name William Gibson
Address 400 Fort Hill Ave, Canandaigua, New York
Phone Number 5853937496
Fax Number 5853937429
Sole Proprietor N
Credentials PHD

NPI Number Detail

NPI Number 1962439059
Provider Enumeration Date 2006-06-26
Last Updated Date 2011-03-01

Provider Mailing Address Detail

Address 400 Fort Hill Ave
City Canandaigua
State New York (NY)
Post Code 144241159
Phone Number 5853937496
Fax Number 5853937429

Provider's Primary Taxonomy Detail

Speciality Clinical
Taxonomy 103Tc0700X
Licence No 17177
Definition:
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
423635 PA PA BLUE SHILED
651123-01 PA BC/BS OF MD CARE FIRST
835851000 PA MAGELLAN
50058633 PA CAPTIAL BLUE CROSS

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FAQs about William Gibson

What is the unique 10-digit identifier code assigned to William Gibson by the Centers for Medicare & Medicaid Services?

The William Gibson has been issued the NPI (National Provider Identifier) 1962439059 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Could you provide the complete address where William Gibson is physically located?

The William Gibson is situated at the following address: 400 Fort Hill Ave, Canandaigua, NY 144241159.

What is William Gibson's area of expertise and its corresponding taxonomy classification?

The William Gibson's field of specialization is Clinical, and it falls under the taxonomy code 103Tc0700X, which categorizes healthcare providers based on their areas of practice.

On what date did the William Gibson receive the assignment of its 1962439059 from the Centers for Medicare & Medicaid Services?

The William Gibson was issued its 1962439059 by the Centers for Medicare & Medicaid Services on 2006-06-26.

When was the information regarding William Gibson, such as address, specialty, and other details, most recently verified or confirmed to be accurate?

The information pertaining to William Gibson, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2011-03-01.

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