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Marcia S. Gibson, Psy.d And Associates, P. C..
Adolescent and Children Mental Health Clinic/Center in Bolingbrook, Illinois
NPI 1881922284

Marcia S. Gibson, Psy.d And Associates, P. C.. is an Adolescent and Children Mental Health Clinic/Center based in Bolingbrook, IL and is specialized in Adolescent and Children Mental Health. Marcia S. Gibson, Psy.d And Associates, P. C.. practices in Bolingbrook, IL. The NPI Number for Marcia S. Gibson, Psy.d And Associates, P. C.. is 1881922284 and holds a License No. 071007322 (Illinois).

The current practice location address for Marcia S. Gibson, Psy.d And Associates, P. C.. is 404 W Boughton Rd Ste B, Bolingbrook, IL and can be reached out via phone at 630-759-4000 and via fax at 630-759-5220.

Location: 404 W Boughton Rd Ste B, Bolingbrook, IL, 60440-1898
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1881922284
Provider Name
Marcia S. Gibson, Psy.d And Associates, P. C..
Credential
Provider Entity Type
Organization
Address
404 W Boughton Rd Ste B, Bolingbrook, IL, 60440-1898
Phone Number
630-759-4000
Fax Number
630-759-5220
Provider Enumeration Date
11/23/2009
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1346434883 01 IL NATIONAL PROVIDER IDENTIFICATION ENUMERATOR, TYPE 1
institution
Provider Business Practice Location Address Details
Address
404 W Boughton Rd Ste B
City
Bolingbrook
State
Illinois
Zip
60440-1898
Phone Number
630-759-4000
Fax Number
630-759-5220
person
Provider Business Mailing Address Details
Address
404 W Boughton Rd Ste B
City
Bolingbrook
State
Illinois
Zip
60440-1898
Phone Number
630-759-4000
Fax Number
630-759-5220
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Adult Mental Health
Taxonomy
261QM0850X
License No.
071007322 (Illinois)
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.
person
Provider's Taxonomy Details 2
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Adolescent and Children Mental Health
Taxonomy
261QM0855X
License No.
071007322 (Illinois)
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training.
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