Individual
DR. ROBERT GWYN GIBBY JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
1601 ROLLING HILLS DR, SUITE 200, RICHMOND, VA 23229-5011
(804) 249-8302
Mailing address
PO BOX 478, MIDLOTHIAN, VA 23113-0478
(804) 794-8171
(804) 794-3787
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
0810000686
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
453076
BC/BS
VA
05
—
7705689
—
VA
Enumeration date
10/17/2006
Last updated
07/08/2007
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