Individual
GRACE C GIBSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
206 STATE ST, SUITE 107, NORTHAMPTON, MA 01060
(413) 587-0408
(413) 584-8555
Mailing address
206 STATE ST, SUITE 107, NORTHAMPTON, MA 01060
(413) 587-0408
(413) 584-8555
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
7576
MA
103TC0700X
Clinical Psychologist
Primary
7576
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0500313
—
MA
01
—
W05942
BCBS
MA
Enumeration date
03/28/2007
Last updated
09/11/2025
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