Individual
JUDITH GIBBONS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
51 5TH AVE, NEW YORK, NY 10003-4320
(212) 675-7549
(212) 255-2363
Mailing address
352 W 11TH ST, NEW YORK, NY 10014-2330
(212) 675-7549
(212) 255-2363
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
08183
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01734303
—
NY
Enumeration date
10/18/2006
Last updated
07/08/2007
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