| Jennifer Gibson, Psyd | |
|
2650 W Montrose Ave Suite 200 Chicago IL 60618-1560 | |
| (872) 205-6110 | |
| Not Available |
| Full Name | Jennifer Gibson, Psyd |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 2650 W Montrose Ave, Chicago, Illinois |
| Authorized Official Name and Position | Jennifer Gibson (LICENSED CLINICAL PSYCHOLOGIST) |
| Authorized Official Contact | 3123165551 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jennifer Gibson, Psyd 4334 N Bell Ave Chicago IL 60618-1610 Ph: (312) 316-5551 | Jennifer Gibson, Psyd 2650 W Montrose Ave Suite 200 Chicago IL 60618-1560 Ph: (872) 205-6110 |
| NPI Number | 1003211426 |
|---|---|
| Provider Enumeration Date | 10/28/2014 |
| Last Update Date | 10/28/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003211426 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 071007651 (Illinois) | Primary |
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