Organization
BERTRAM GIBBES, PH.D., INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BERTRAM ST. CYR LINARD GIBBES PH.D. (PRESIDENT)
(401) 782-1667
Entity
Organization
Contact information
Practice address
481A KINGSTOWN RD, SUITE D, WAKEFIELD, RI 02879-3607
(401) 782-1667
(104) 782-1669
Mailing address
481A KINGSTOWN RD, SUITE D, WAKEFIELD, RI 02879-3607
(401) 782-1667
(401) 782-1669
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PS00511
RI
Other
Enumeration date
08/07/2008
Last updated
08/07/2008
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