Keith D Gibson, PHD

NPI #1801014204 in Beloit, Wisconsin

Provider Information

NPI Number
1801014204
Entity Type
Individual
Name
Keith D Gibson, PHD
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Psychologist
Credential
PHD
Enumeration Date
Apr 23, 2007
Last Updated
Jul 8, 2007

Practice Location

Address
1969 W HART RD
City
Beloit
ZIP Code
53511-2230
Phone
(608) 364-5686

Specialties & Taxonomy Codes

Specialty
Psychologist

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