Individual
DR. BREEZIE JAMEL GIBSON
Active
Individual
DR. BREEZIE JAMEL GIBSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD, LP, HSPP
Taxonomy
Speciality
Code
Description
License number
State
103TH0100X
Health Service Psychologist
Primary
20044066A
IN
172V00000X
Community Health Worker
—
—
Other
Enumeration date
02/04/2011
Last updated
06/29/2026
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