Individual
SEAN GIBBS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSY.D
Contact information
Practice address
3616 S I 10 SERVICE RD W STE 200, METAIRIE, LA 70001-1874
(504) 838-5424
(504) 838-5714
Mailing address
1202 MONROE ST, GRETNA, LA 70053-2307
(504) 309-6798
(504) 407-2115
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
1492
LA
171M00000X
Case Manager/Care Coordinator
—
—
225400000X
Rehabilitation Practitioner
IMF49880
CA
Other
Enumeration date
03/15/2007
Last updated
04/04/2019
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