Organization
CHRISTINE GIBBON, PHD, LP, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTINE GIBBON PHD, LP (OWNER)
(763) 595-7294
Entity
Organization
Contact information
Practice address
5101 OLSON MEMORIAL HWY, SUITE 4002, GOLDEN VALLEY, MN 55422-5149
(763) 595-7294
(763) 595-7293
Mailing address
5101 OLSON MEMORIAL HWY, SUITE 4002, GOLDEN VALLEY, MN 55422-5149
(763) 595-7294
(763) 595-7293
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
LP4789
MN
Other
Enumeration date
11/11/2015
Last updated
11/11/2015
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