Individual
MRS. SUZANNE GIBBARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH D
Contact information
Practice address
522 WEST WASHINGTON AVE, JONESBORO, AR 72401
(870) 935-6621
(870) 933-8919
Mailing address
522 WEST WASHINGTON AVE, JONESBORO, AR 72401
(870) 935-6621
(870) 933-8919
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
9724P
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5S877
BCBS
AR
Enumeration date
07/07/2006
Last updated
07/08/2007
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