Individual
GABRIELA GIBSON-LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
3551 ROGER BROOKE DR, FORT SAM HOUSTON, TX 78234-4504
(210) 916-7500
Mailing address
3551 ROGER BROOKE DR, FORT SAM HOUSTON, TX 78234-4504
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
38341
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
327195901
—
TX
01
—
327195902
CSHCN
TX
Enumeration date
11/04/2013
Last updated
02/07/2025
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