Gps Psychology & Anxiety Clinic, Llc | |
850 E Franklin Rd Ste 404 Meridian ID 83642 | |
(208) 258-7917 | |
(208) 417-3088 |
Full Name | Gps Psychology & Anxiety Clinic, Llc |
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Speciality | Community/Behavioral Health |
Location | 850 E Franklin Rd Ste 404, Meridian, Idaho |
Authorized Official Name and Position | Daniel Glen Gibson (OWNER/CLINICAL PSYCHOLOGIST) |
Authorized Official Contact | 2082587917 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Gps Psychology & Anxiety Clinic, Llc 850 E Franklin Rd Ste 404 Meridian ID 83642-8917 Ph: (208) 258-7917 | Gps Psychology & Anxiety Clinic, Llc 850 E Franklin Rd Ste 404 Meridian ID 83642 Ph: (208) 258-7917 |
NPI Number | 1841798634 |
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Provider Enumeration Date | 01/26/2018 |
Last Update Date | 06/06/2019 |
Medicare PECOS PAC ID | 5092040857 |
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Medicare Enrollment ID | O20190716002129 |
Identifier | Type | State | Issuer |
---|---|---|---|
1841798634 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
Provider Name | Daniel Glen Gibson |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1194075994 PECOS PAC ID: 9537494398 Enrollment ID: I20190716002282 |
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