Individual
MR. PATRICK K GIBSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MA
Contact information
Practice address
78 PLEASANT ST, HYANNIS, MA 02601-4008
(508) 815-5071
Mailing address
118 LONG POND RD STE 104, PLYMOUTH, MA 02360-2662
(508) 746-5632
Taxonomy
Speciality
Code
Description
License number
State
103TP2701X
Group Psychotherapy Psychologist
Primary
—
—
Other
Enumeration date
11/06/2008
Last updated
11/06/2008
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