Mr Paul K Gibson, MC, LMFT | |
3920 S Rural Rd Ste 112, Tempe, AZ 85282-5500 | |
(480) 428-2944 | |
(480) 680-5361 |
Full Name | Mr Paul K Gibson |
---|---|
Gender | Male |
Speciality | Marriage & Family Therapist |
Location | 3920 S Rural Rd Ste 112, Tempe, Arizona |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1427416387 | NPI | - | NPPES |
346214 | Medicaid | AZ |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
106H00000X | Marriage & Family Therapist | LMFT-10254 (Arizona) | Primary |
Entity Name | Aj Southwest Ventures Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1639880917 PECOS PAC ID: 8224480090 Enrollment ID: O20240117001778 |
Mailing Address | Practice Location Address |
---|---|
Mr Paul K Gibson, MC, LMFT 3920 S Rural Rd Ste 112, Tempe, AZ 85282-5500 Ph: (480) 428-2944 | Mr Paul K Gibson, MC, LMFT 3920 S Rural Rd Ste 112, Tempe, AZ 85282-5500 Ph: (480) 428-2944 |
Isabella Rose Salcedo, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 7581 S Willow Dr Ste 109, Tempe, AZ 85283 Phone: 480-282-8778 | |
Jennifer Lynne Cunico, MCMFCT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 1232 E Broadway Rd Ste 120, Tempe, AZ 85282 Phone: 480-784-1514 | |
Ms. June Yijiun Lin-lee, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 1200 E Southern Ave, Tempe, AZ 85282 Phone: 480-269-7730 | |
Desiree Barnett, LAMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 7581 S Willow Dr Ste 107, Tempe, AZ 85283 Phone: 480-282-8778 | |
Teresa N Miller, LAMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 6515 S Rural Rd, Tempe, AZ 85283 Phone: 480-656-0500 | |
Patricia Campana, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 4801 S Lakeshore Dr Ste 207, Tempe, AZ 85282 Phone: 623-469-7295 | |
Paloma Mars, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 7581 S Willow Dr Ste 109, Tempe, AZ 85283 Phone: 480-282-8778 |