Individual
DR. BERTRAM ST CYR LINARD GIBBES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD PSYCHOLOGIST
Contact information
Practice address
481A KINGSTOWN RD, SUITE D4, WAKEFIELD, RI 02879-3607
(401) 782-1667
(401) 782-1669
Mailing address
481A KINGSTOWN RD, WAKEFIELD, RI 02879-3607
(401) 782-1667
(401) 782-1669
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
511
RI
Other
Enumeration date
11/27/2006
Last updated
07/14/2009
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