Individual
DR. LINDA LEE GIBSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
7751 CARONDELET AVE, STE. 605, CLAYTON, MO 63105-3316
(314) 721-7903
Mailing address
7751 CARONDELET AVE, STE. 605, CLAYTON, MO 63105-3316
(314) 721-7903
Taxonomy
Speciality
Code
Description
License number
State
102L00000X
Psychoanalyst
Primary
R7978
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
R7978
STATE MEDICAL LICENSE NUMBER
MO
Enumeration date
12/01/2010
Last updated
12/01/2010
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