Active NPIIndividual providerSole proprietor

Dr. Elizabeth Gibson, PSYD

Psychologist, Clinical in West Boylston, Massachusetts

NPI Number1275633760
Practice location
45 Sterling St, Suite 35, West Boylston, MA 01583-1200
Fax
978-464-5838
Last updated
July 8, 2007

Elizabeth Gibson is a Psychologist, Clinical based in West Boylston, MA. Elizabeth Gibson practices in West Boylston, MA and has the professional credentials of PSYD. The NPI Number for Elizabeth Gibson is 1275633760 and holds a License No. 5096 (MA). The current practice location address for Elizabeth Gibson is 45 Sterling St, Suite 35, West Boylston, MA 01583-1200 and can be reached out via phone at 508-754-6444 and via fax at 978-464-5838.

Provider Profile Details

NPI Number
1275633760
Provider Name
Elizabeth Gibson
Credential
PSYD
Provider Entity Type
Individual
Gender
Female
Address
45 Sterling St, Suite 35, West Boylston, MA 01583-1200
Phone Number
508-754-6444
Fax Number
978-464-5838
Primary Taxonomy
Psychologist, Clinical · 103TC0700X
Sole Proprietor
Yes
Provider Enumeration Date
September 24, 2006
Last Update Date
July 8, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
45 Sterling St
Suite 35
West Boylston, MA 01583-1200
Zip
01583-1200
Phone Number
508-754-6444
Fax Number
978-464-5838
West Boylston, MA 01583Get directions →

Provider Business Mailing Address Details

Address
45 Sterling St
Suite 35
West Boylston, MA 01583-1200
City
West Boylston
State
MA
Zip
01583-1200
Phone Number
508-754-6444
Fax Number
978-464-5838

License Information

License Number
5096
License State
MA
Taxonomy
Psychologist, Clinical · 103TC0700X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Elizabeth Gibson, PSYD?

The NPI number of Dr. Elizabeth Gibson, PSYD is 1275633760. It was assigned on September 24, 2006 and is currently active in the NPPES registry.

What is the specialty of Dr. Elizabeth Gibson, PSYD?

Dr. Elizabeth Gibson, PSYD is registered under the primary taxonomy Psychologist, Clinical (code 103TC0700X), licensed in MA under license number 5096.

Where does Dr. Elizabeth Gibson, PSYD practice?

The practice location is 45 Sterling St, Suite 35, West Boylston, MA 01583-1200. The office can be reached at 508-754-6444 (phone) or 978-464-5838 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1275633760 directly on the NPPES registry website.

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