Jennifer Gibney CEIS

NPI 1376698928 - Psychologist - 103T00000X

NPI Details
NPI 1376698928
Gender Female
Enumeration Date 01/24/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
1115 W CHESTNUT ST
BROCKTON MA, 02301, US
Phone (508) 559-0473
Fax (508) 427-5361
Business Location
601 TREMONT STREET
APT 3
BOSTON MA, 02118, US
Phone (617) 901-1145
Fax
Toxanomy
Taxonomy Code 103T00000X
License State
License Number
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According to our database, Ms. Jennifer Gibney CEIS NPI is 1376698928, taxonomy code is 103T00000X Jennifer Gibney CEIS physically located at 1115 W Chestnut St, Brockton MA, 02301. NPI Number Jennifer Gibney CEIS has the Individual type.

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1376698928 NPI number is provided on an as is basis without warranty of any kind. 1376698928 is maintained by the National Plan & Provider Enumeration System. The contents of Jennifer Gibney CEIS are for informational purposes only.