| Michael Gibbs | |
|
2443 Golf Rd Philadelphia PA 19131-1416 | |
| (215) 200-8298 | |
| Not Available |
| Full Name | Michael Gibbs |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 2443 Golf Rd, Philadelphia, Pennsylvania |
| Authorized Official Name and Position | Michael Gibbs (THERAPIST) |
| Authorized Official Contact | 2152008298 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Michael Gibbs 2443 Golf Rd Philadelphia PA 19131-1416 Ph: (215) 200-8298 | Michael Gibbs 2443 Golf Rd Philadelphia PA 19131-1416 Ph: (215) 200-8298 |
| NPI Number | 1386020568 |
|---|---|
| Provider Enumeration Date | 08/10/2015 |
| Last Update Date | 08/10/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386020568 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 37PC00505300 (New Jersey) | Primary |
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