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Individual

DR. GINA LYNN GIBSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PHD

Contact information

Practice address
309 SAINT JULIEN AVE STE 201, LAFAYETTE, LA 70506-4655
(337) 706-1940
Mailing address
309 SAINT JULIEN AVE STE 201, LAFAYETTE, LA 70506-4655
(337) 706-1940
(337) 233-3250

Taxonomy

Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
103TC1900X
Counseling Psychologist
1091
LA

Other

Enumeration date
02/14/2009
Last updated
09/11/2023
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