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Individual

DR. JESSICA LEIGH GIBSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PSYD, LP

Contact information

Practice address
1340 CENTRE ST STE 209, NEWTON, MA 02459-2453
(617) 354-4450
(617) 354-4452
Mailing address
1340 CENTRE ST STE 209, NEWTON, MA 02459-2453
(617) 354-4450
(617) 354-4452

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
11339
MA

Other

Enumeration date
05/17/2018
Last updated
02/02/2023
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