T. Ann Gibbons, Ph.d., P.a. | |
4370 S Tamiami Trl Ste 324 Sarasota FL 34231-3412 | |
(941) 922-6262 | |
(941) 925-5899 |
Full Name | T. Ann Gibbons, Ph.d., P.a. |
---|---|
Speciality | Psychologist |
Location | 4370 S Tamiami Trl, Sarasota, Florida |
Authorized Official Name and Position | T. Ann Gibbons (PRESIDENT) |
Authorized Official Contact | 9419226262 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
T. Ann Gibbons, Ph.d., P.a. 4370 S Tamiami Trl Ste 324 Sarasota FL 34231-3412 Ph: (941) 922-6262 | T. Ann Gibbons, Ph.d., P.a. 4370 S Tamiami Trl Ste 324 Sarasota FL 34231-3412 Ph: (941) 922-6262 |
NPI Number | 1689964702 |
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Provider Enumeration Date | 04/11/2011 |
Last Update Date | 04/11/2011 |
Medicare PECOS PAC ID | 2668659202 |
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Medicare Enrollment ID | O20110607000587 |
Identifier | Type | State | Issuer |
---|---|---|---|
1689964702 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103TC0700X | Psychologist - Clinical | PY5092 (Florida) | Primary |
Provider Name | T Ann Gibbons |
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Provider Type | Practitioner - Psychologist Billing Independently |
Provider Identifiers | NPI Number: 1346399474 PECOS PAC ID: 4789861337 Enrollment ID: I20110607000689 |
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