Individual
CAROLYN GIBSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD, MPH
Contact information
Practice address
4150 CLEMENT ST BLDG 8, SAN FRANCISCO, CA 94121-1563
(412) 576-0249
Mailing address
4150 CLEMENT ST BLDG 8, SAN FRANCISCO, CA 94121-1563
(412) 576-0249
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
30606
CA
Other
Enumeration date
04/07/2015
Last updated
12/09/2019
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