| Jessica Gibson Llc | |
|
302 River St Unit 2 Waltham MA 02453-6082 | |
| (774) 277-9726 | |
| Not Available |
| Full Name | Jessica Gibson Llc |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 302 River St Unit 2, Waltham, Massachusetts |
| Authorized Official Name and Position | Jessica Gibson (CLINICAL PSYCHOLOGIST) |
| Authorized Official Contact | 7742779726 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jessica Gibson Llc 302 River St Unit 2 Waltham MA 02453-6082 Ph: (774) 277-9726 | Jessica Gibson Llc 302 River St Unit 2 Waltham MA 02453-6082 Ph: (774) 277-9726 |
| NPI Number | 1316636988 |
|---|---|
| Provider Enumeration Date | 05/01/2023 |
| Last Update Date | 05/01/2023 |
| Certification Date | 05/01/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316636988 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
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