Lisa C Gibbons, PHD | |
100 W Gore St Ste 405, Orlando, FL 32806-1049 | |
(321) 841-3820 | |
(321) 843-6836 |
Full Name | Lisa C Gibbons |
---|---|
Gender | Female |
Speciality | Psychologist - Clinical Child & Adolescent |
Location | 100 W Gore St Ste 405, Orlando, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1801049150 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103TC2200X | Psychologist - Clinical Child & Adolescent | PY7824 (Florida) | Primary |
Entity Name | The Nemours Foundation |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1386658615 PECOS PAC ID: 9537072483 Enrollment ID: O20040109000252 |
Entity Name | Orlando Health Medical Group Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1669429577 PECOS PAC ID: 9537059084 Enrollment ID: O20040318000044 |
Mailing Address | Practice Location Address |
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Lisa C Gibbons, PHD 100 W Gore St Ste 405, Orlando, FL 32806-1049 Ph: (321) 841-3820 | Lisa C Gibbons, PHD 100 W Gore St Ste 405, Orlando, FL 32806-1049 Ph: (321) 841-3820 |
Dr. Kimberly Ann Kirkpatrick Justice, PH.D., ABPP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1483 Lake Baldwin Ln, Suite A, Orlando, FL 32814 Phone: 321-422-0145 Fax: 949-266-1670 | |
Dr. Timothy Eugene Spruill, ED.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 7975 Lake Underhill Rd, Suite 210, Orlando, FL 32822 Phone: 407-303-6830 Fax: 407-303-8659 | |
Eric Scott Wiener, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 7353 W Sand Lake Rd, Suite 202, Orlando, FL 32819 Phone: 407-352-1155 | |
Dr. Carmen C Capella, PSYD Psychologist Medicare: Medicare Enrolled Practice Location: 1400 N Semoran Blvd Ste E, Orlando, FL 32807 Phone: 407-823-8421 Fax: 407-823-8195 | |
Idalee Melendez, PSY. D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 4011 Andover Cay Blvd, Orlando, FL 32825 Phone: 407-346-8182 | |
Yamira Ayala, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 6150 Metrowest Blvd, Orlando, FL 32835 Phone: 407-730-3837 Fax: 407-730-3869 | |
Dr. Manuel Jesus Herrera Legon, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 13800 Veterans Way, Orlando, FL 32827 Phone: 407-538-2268 |