Individual
DR. CHARLES F GIBSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
210 E MILLTOWN RD STE B, WOOSTER, OH 44691-1200
(330) 345-0955
(330) 345-3420
Mailing address
210 E MILLTOWN RD STE B, WOOSTER, OH 44691-1200
(330) 345-0955
(330) 345-3420
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
3370
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0630893
—
OH
Enumeration date
03/27/2006
Last updated
06/10/2020
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