Organization
BEVERLEE GIBBS-CASSADY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BEVERLEE J GIBBS-CASSADY ED.D. (OWNER)
(928) 774-7778
Entity
Organization
Contact information
Practice address
416 N KENDRICK ST, SUITE 3, FLAGSTAFF, AZ 86001-1598
(928) 774-7778
(928) 913-0891
Mailing address
416 N KENDRICK ST, SUITE 3, FLAGSTAFF, AZ 86001-1598
(928) 774-7778
(928) 913-0891
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
3410
AZ
Other
Enumeration date
03/11/2011
Last updated
03/11/2011
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