Individual
WILLIAM GIBBS ELDER JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
4349 MARTIN LUTHER KING BLVD HEALTH 2 BLDG SUITE 1001E, HOUSTON, TX 77204-2043
(713) 743-9682
(713) 743-1049
Mailing address
4349 MARTIN LUTHER KING BLVD HEALTH 2 BLDG SUITE 1001E, HOUSTON, TX 77204-0001
(713) 743-9682
(713) 743-1049
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
1108
KY
103TC0700X
Clinical Psychologist
Primary
38344
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
89011084
—
KY
Enumeration date
07/05/2006
Last updated
06/20/2024
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