Dr. John E. Gibbons PH.D. - Clinical Psychologist in Severna Park, Maryland | ProviderWire

Full Name

Dr. John E. Gibbons PH.D.

NPI Number

1487864807

NPI Type

Individual Provider

Gender

Male

Enumeration Date

05/23/2007

Specialties

(Taxonomies)

Name

Clinical Psychologist

Code

103TC0700X

Primary Taxonomy

Yes

Licenses

State

Maryland

License Number

02253

Contact
Information

Purpose

Mailing

Location

Address

488 LYMINGTON RD

8 CYPRESS CREEK RD

City

Severna Park

Severna Park

State

MD

MD

Postal Code

21146-3548

21146-4050

Country

US

US

Telephone Number

(410) 544-8507

(410) 544-8507

Identifiers

Identifier

0 - G463 - JE - 62

S094 - 0001

Identifier State

MD

MD

Identifier Issuer

BLUE CROSS - BLUE SHIELD

GHMSI

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 06/16/2019

Provider Address

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