Individual
JAMEL GIBBS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
—
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2859605
PROVISIONAL SCHOOL PSYCHOLOGIST CERTIFICATION
NY
Enumeration date
08/06/2018
Last updated
08/06/2018
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