Jennifer L Gibson is a Family in Chicago, Illinois. Jennifer L Gibson practices all healthcare services and medical treatments related to Family. 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 | Family |
|---|---|
| Taxonomy | 103Tf0000X |
| Licence No | 071-007651 |
|
Definition: A psychologist whose specialty is founded on principles of systems theory with the interpersonal system of the family the focus of assessment, intervention and research. |
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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 Family, and the corresponding taxonomy code is 103Tf0000X.
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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