| Bertram Gibbes, Ph.d., Inc. | |
|
481a Kingstown Rd Suite D Wakefield RI 02879-3607 | |
| (401) 782-1667 | |
| (104) 782-1669 |
| Full Name | Bertram Gibbes, Ph.d., Inc. |
|---|---|
| Speciality | Psychologist |
| Location | 481a Kingstown Rd, Wakefield, Rhode Island |
| Authorized Official Name and Position | Bertram St. Cyr Linard Gibbes (PRESIDENT) |
| Authorized Official Contact | 4017821667 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Bertram Gibbes, Ph.d., Inc. 481a Kingstown Rd Suite D Wakefield RI 02879-3607 Ph: (401) 782-1667 | Bertram Gibbes, Ph.d., Inc. 481a Kingstown Rd Suite D Wakefield RI 02879-3607 Ph: (401) 782-1667 |
| NPI Number | 1134375363 |
|---|---|
| Provider Enumeration Date | 08/07/2008 |
| Last Update Date | 08/07/2008 |
| Medicare PECOS PAC ID | 8224175799 |
|---|---|
| Medicare Enrollment ID | O20091102000614 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134375363 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | PS00511 (Rhode Island) | Primary |
| Provider Name | Bertram S Gibbes |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1295801900 PECOS PAC ID: 1658457924 Enrollment ID: I20080326000880 |
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