MR. Ralph William Gibbons, LPT 111
NPI #1215014840 in Norwalk, California
Provider Information
- NPI Number
- 1215014840
- Entity Type
- Individual
- Name
- MR. Ralph William Gibbons, LPT 111
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Licensed Psychiatric Technician
- Credential
- LPT 111
- Enumeration Date
- Nov 1, 2006
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 12440 IMPERIAL HWY
- Address 2
- SUITE 116
- City
- Norwalk
- State
- California
- ZIP Code
- 90650-3177
- Phone
- (800) 854-7771
Specialties & Taxonomy Codes
| Specialty |
|---|
| Licensed Psychiatric Technician |
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