| Gibson Psychological Services Llc | |
|
11 N Irvine St Ste 5&6 Greenville SC 29601-4900 | |
| (864) 643-2735 | |
| Not Available |
| Full Name | Gibson Psychological Services Llc |
|---|---|
| Speciality | Psychologist |
| Location | 11 N Irvine St Ste 5&6, Greenville, South Carolina |
| Authorized Official Name and Position | Andrew Scott Gibson (PSYCHOLOGIST) |
| Authorized Official Contact | 8646432735 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Gibson Psychological Services Llc 11 N Irvine St Ste 5&6 Greenville SC 29601-4900 Ph: (864) 643-2735 | Gibson Psychological Services Llc 11 N Irvine St Ste 5&6 Greenville SC 29601-4900 Ph: (864) 643-2735 |
| NPI Number | 1730960022 |
|---|---|
| Provider Enumeration Date | 10/11/2023 |
| Last Update Date | 11/28/2023 |
| Certification Date | 11/28/2023 |
| Medicare PECOS PAC ID | 4284072059 |
|---|---|
| Medicare Enrollment ID | O20240329002542 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730960022 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC1900X | Psychologist - Counseling | (* (Not Available)) | Primary |
| Provider Name | Andrew Gibson |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1083108187 PECOS PAC ID: 0547608317 Enrollment ID: I20240403001172 |
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