Individual provider · Type 1 NPI

Keith D. Gibson, PhD

Psychologist · Beloit, WI

NPI number 1801014204 Active

Practice location

1969 W Hart Rd
Beloit, WI 53511-2230

Fax (608) 363-5756

Mailing address

N2788 Walden Ln
Lake Geneva, WI 53147-3439

Specialties and licenses

TaxonomyCodeLicense
Psychologist Primary 103T00000X522057 (WI)

Psychologist: A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustmen…

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About NPI 1801014204

Keith D. Gibson, PhD's National Provider Identifier is 1801014204, issued on Apr 23, 2007. The primary taxonomy on file is Psychologist (103T00000X), and the practice location is in Beloit, WI. The record was last updated on Jul 8, 2007.