Individual provider · Type 1 NPI
Carolnise Gibson
Intellectual & Developmental Disabilities Psychologist · Monroe, LA
NPI number
1679199053
Active
Practice location
353 Stubbs Mccormick Rd
Monroe, LA 71203-9412
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Intellectual & Developmental Disabilities Psychologist Primary | 103TM1800X | None listed |
Intellectual & Developmental Disabilities Psychologist: Definition to come...
About NPI 1679199053
Carolnise Gibson's National Provider Identifier is 1679199053, issued on Jun 22, 2020. The primary taxonomy on file is Intellectual & Developmental Disabilities Psychologist (103TM1800X), and the practice location is in Monroe, LA. The record was last updated on Jun 22, 2020.