Individual
DR. MARK TANNER GIBSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
1208 HILLTOP DR STE 103, ROCK SPRINGS, WY 82901-5858
(307) 212-8064
(307) 224-2128
Mailing address
1208 HILLTOP DR STE 103, ROCK SPRINGS, WY 82901-5858
(307) 212-8064
(307) 224-2128
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
437
WY
103TC0700X
Clinical Psychologist
Primary
437
WY
103TC1900X
Counseling Psychologist
437
WY
Other
Enumeration date
11/01/2006
Last updated
11/08/2025
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