| John Gibbons, PHD | |
|
765 Route 70 E, Marlton, NJ 08053-2341 | |
| (800) 370-3651 | |
| Not Available |
| Full Name | John Gibbons |
|---|---|
| Gender | Male |
| Speciality | Psychologist - Clinical |
| Location | 765 Route 70 E, Marlton, New Jersey |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508106808 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 35SI00326800 (New Jersey) | Primary |
| Entity Name | Inetmed Rx2 Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1487107363 PECOS PAC ID: 2062796709 Enrollment ID: O20170224002051 |
| Mailing Address | Practice Location Address |
|---|---|
| John Gibbons, PHD 125 Gibbs Ave, Somers Point, NJ 08244-2319 Ph: (609) 816-3252 | John Gibbons, PHD 765 Route 70 E, Marlton, NJ 08053-2341 Ph: (800) 370-3651 |
Cara Settipani, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 525 Route 73 N Ste 104, Marlton, NJ 08053 Phone: 201-579-0140 | |
Dr. Melissa Acquavella-lightfoot, PSY.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 19 E Main St, Marlton, NJ 08053 Phone: 856-985-9091 Fax: 856-985-9092 | |
Dianna Batalla, PSY.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 30 S Maple Ave Ste 203, Marlton, NJ 08053 Phone: 516-225-7043 | |
Dr. Jacqueline Shall-mccumiskey, PSY. D. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 525 Route 73 N Ste 104, Marlton, NJ 08053 Phone: 646-479-8068 | |
Dr. Emily Kostelnik, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 525 Route 73 N Ste 104, Marlton, NJ 08053 Phone: 000-000-0000 | |
Dr. Gregory William Joseph, PSY.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 12000 Lincoln Dr W, Suite 105, Marlton, NJ 08053 Phone: 856-797-0791 Fax: 856-983-3426 | |
Aleksandra Goncharova, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 525 Route 73 N Ste 104, Marlton, NJ 08053 Phone: 201-218-0433 |