Individual
MELISSA ANN GIBSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
11824 RANSUM DR, LOUISVILLE, KY 40243-2802
(502) 693-2093
Mailing address
11824 RANSUM DR, LOUISVILLE, KY 40243-2802
(502) 693-2093
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
174569
KY
Other
Enumeration date
08/01/2018
Last updated
03/12/2024
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