Dr Elisabeth Breiman Gibson, PSYD is a
Psychologist - Clinical based in Fort Worth, Texas. Dr Elisabeth Breiman Gibson is licensed to practice in Iowa (license number 124861) and her current practice location is
2201 Se Loop 820, Fort Worth, Texas. She can be reached at her office (for appointments etc.) via phone at
(626) 318-3424.
NPI number for Dr Elisabeth Breiman Gibson is 1447724828 and her current mailing address is 2805 Wildplum Dr, Arlington, Texas. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1447724828.
Healthcare Provider's Profile
| Full Name | Dr Elisabeth Breiman Gibson |
|---|
| Gender | Female |
|---|
| Speciality | Psychologist - Clinical |
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| Location | 2201 Se Loop 820, Fort Worth, Texas |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1447724828
- Provider Enumeration Date: 01/18/2019
- Last Update Date: 06/12/2024
Medical Identifiers
Medical identifiers for Dr Elisabeth Breiman Gibson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1447724828 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 103TC0700X | Psychologist - Clinical | 124861 (Iowa) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Elisabeth Breiman Gibson is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Elisabeth Breiman Gibson, PSYD
2805 Wildplum Dr,
Arlington, TX 76015-2030
Ph: (626) 318-3424 | Dr Elisabeth Breiman Gibson, PSYD
2201 Se Loop 820,
Fort Worth, TX 76119-5863
Ph: (626) 318-3424 |
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