Individual
LISA C GIBBONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD.
Contact information
Practice address
100 W GORE ST STE 405, ORLANDO, FL 32806-1049
(321) 841-3820
(321) 843-6836
Mailing address
100 W GORE ST STE 405, ORLANDO, FL 32806-1049
(321) 841-3820
(321) 843-6836
Taxonomy
Speciality
Code
Description
License number
State
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
PY7824
FL
Other
Enumeration date
10/30/2008
Last updated
05/14/2020
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