Individual
DR. JONATHA GIBAUD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH,D.
Contact information
Practice address
6726 PENNYWELL DR, NASHVILLE, TN 37205-3010
(615) 356-5696
Mailing address
6726 PENNYWELL DR, NASHVILLE, TN 37205-3010
(615) 356-5696
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
P578
TN
Other
Enumeration date
12/29/2006
Last updated
07/08/2007
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