Individual
CHRISTOPHER GIBSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2810 DORCHESTER DR, 17, OKLAHOMA CITY, OK 73120-4561
(580) 419-4488
Mailing address
2810 DORCHESTER DR, 17, OKLAHOMA CITY, OK 73120-4561
(580) 419-4488
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
2084P0800X
OK
Other
Enumeration date
02/25/2017
Last updated
02/25/2017
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