Individual
DR. BEVERLEE J GIBBS-CASSADY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ED.D.
Contact information
Practice address
416 N KENDRICK ST STE 3, FLAGSTAFF, AZ 86001-1598
(928) 774-7778
(928) 913-0891
Mailing address
416 N KENDRICK ST STE 3, FLAGSTAFF, AZ 86001-1598
(928) 774-7778
(928) 913-0891
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
3410
AZ
103TC0700X
Clinical Psychologist
3410
AZ
103TS0200X
School Psychologist
3410
AZ
Other
Enumeration date
05/01/2007
Last updated
11/09/2009
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