Organization
JESSICA GIBSON LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JESSICA GIBSON PSYD (CLINICAL PSYCHOLOGIST)
(774) 277-9726
Entity
Organization
Contact information
Practice address
302 RIVER ST UNIT 2, WALTHAM, MA 02453-6082
(774) 277-9726
Mailing address
302 RIVER ST UNIT 2, WALTHAM, MA 02453-6082
(774) 277-9726
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
—
Other
Enumeration date
05/01/2023
Last updated
05/01/2023
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