Jennifer L Gibson in Chicago - Clinical Child & Adolescent
Jennifer L Gibson - NPI 1164544839
Jennifer L Gibson is a Clinical Child & Adolescent in Chicago, Illinois. Jennifer L Gibson practices all healthcare services and medical treatments related to Clinical Child & Adolescent. The NPI Number for Jennifer L Gibson is 1164544839. The last update date is 2014-10-13.
Jennifer L Gibson's current location address is 2650 W Montrose Ave, Chicago, Illinois. You can contact this provider via phone number 8722056110. The mailing address for Jennifer L Gibson is 2650 W Montrose Ave, Chicago, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jennifer L Gibson |
|---|---|
| Address | 2650 W Montrose Ave, Chicago, Illinois |
| Phone Number | 8722056110 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | PSYD |
NPI Number Detail
| NPI Number | 1164544839 |
|---|---|
| Provider Enumeration Date | 2007-04-04 |
| Last Updated Date | 2014-10-13 |
Provider Mailing Address Detail
| Address | 2650 W Montrose Ave |
|---|---|
| City | Chicago |
| State | Illinois (IL) |
| Post Code | 606181560 |
| Phone Number | 8722056110 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical Child & Adolescent |
|---|---|
| Taxonomy | 103Tc2200X |
| Licence No | 071-007651 |
|
Definition: A psychologist who develops and applies scientific knowledge to the delivery of psychological services to infants, toddlers, children and adolescents within their social context. Of particular importance to the specialty of clinical child psychology |
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What is the unique identifier code issued to Jennifer L Gibson by the Centers for Medicare & Medicaid Services?
The Jennifer L Gibson has been assigned the NPI (National Provider Identifier) 1164544839. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Where is the Jennifer L Gibson located?
The Jennifer L Gibson is located at 2650 W Montrose Ave, Chicago, IL 606181560.
What is the Jennifer L Gibson's specialty and taxonomy code?
The Jennifer L Gibson's specialty is Clinical Child & Adolescent, and the corresponding taxonomy code is 103Tc2200X.
On what date did the Jennifer L Gibson receive its 1164544839 assignment from the Centers for Medicare & Medicaid Services?
The Jennifer L Gibson was assigned its 1164544839 by the Centers for Medicare & Medicaid Services on 2007-04-04.
When was the information regarding Jennifer L Gibson most recently updated?
The details pertaining to the Jennifer L Gibson, including its address, specialty, and other relevant information, were last refreshed on 2014-10-13.
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