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Individual

MS. CARLA INGRID GIBSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PH.D.

Contact information

Practice address
1522 E A ST, CASPER, WY 82601-2217
(307) 232-6096
(307) 232-6098
Mailing address
1522 E A ST, CASPER, WY 82601-2217
(307) 232-6096
(307) 232-6098

Taxonomy

Speciality
Code
Description
License number
State
103TB0200X
Cognitive & Behavioral Psychologist
447
WY
103TC0700X
Clinical Psychologist
Primary
447
WY
103TM1800X
Intellectual & Developmental Disabilities Psychologist
447
WY
103TP2701X
Group Psychotherapy Psychologist
447
WY

Other

Enumeration date
02/15/2007
Last updated
01/01/2014
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