Individual
DR. ELIZABETH ANNE GIPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
125 BENNETT AVE, HURLBURT FIELD, FL 32544-5705
(850) 883-5719
Mailing address
125 BENNETT AVE, HURLBURT FIELD, FL 32544-5705
(850) 883-5719
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PY 60338106
WA
Other
Enumeration date
08/30/2010
Last updated
05/18/2022
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