Individual
PETER M GIBSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
1350 CONNECTICUT AVE NW, SUITE 603, WASHINGTON, DC 20036-1722
(202) 775-1556
Mailing address
1350 CONNECTICUT AVE NW, SUITE 603, WASHINGTON, DC 20036-1722
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
0810-001063
VA
103T00000X
Psychologist
Primary
PSY1191
DC
Other
Enumeration date
10/26/2006
Last updated
07/08/2007
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