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Individual

DR. DANIEL GLEN GIBSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PSY.D., M.A., M.S.W.

Contact information

Practice address
850 E FRANKLIN RD STE 404, MERIDIAN, ID 83642
(208) 258-7917
(208) 417-3088
Mailing address
850 E FRANKLIN RD STE 404, MERIDIAN, ID 83642-8917
(208) 258-7917
(208) 417-3088

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY-203026
ID

Other

Enumeration date
09/19/2012
Last updated
05/31/2019
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