Individual
DR. MERYL REIST GIBBEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
239 S BUTLER RD, LEBANON, PA 17042-8939
(717) 273-8871
(717) 270-2452
Mailing address
785 5TH AVE STE 3, CHAMBERSBURG, PA 17201-4232
(717) 263-9555
(717) 709-6529
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PS017168
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103361831
—
PA
01
—
PS017168
STATE LICENSE - PSYCHOLOGIST
PA
Enumeration date
02/28/2012
Last updated
02/08/2023
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