Organization
GPS PSYCHOLOGY & ANXIETY CLINIC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DANIEL GLEN GIBSON PSY.D., M.A., M.S.W (OWNER/CLINICAL PSYCHOLOGIST)
(208) 258-7917
Entity
Organization
Contact information
Practice address
850 E FRANKLIN RD STE 404, MERIDIAN, ID 83642
(208) 258-7917
(208) 417-3088
Mailing address
850 E FRANKLIN RD STE 404, MERIDIAN, ID 83642-8917
(208) 258-7917
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
01/26/2018
Last updated
06/06/2019
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