Individual
LAURA E GIBSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
33 CATHERINE ST, BURLINGTON, VT 05401-4838
(802) 238-2600
Mailing address
33 CATHERINE ST, BURLINGTON, VT 05401-4838
(802) 238-2600
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
0480000821
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1009529
—
VT
01
—
59513
BC BS
VT
Enumeration date
05/16/2006
Last updated
11/24/2011
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