Individual provider · Type 1 NPI
Keith D. Gibson, PhD
Psychologist · Beloit, WI
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
| Taxonomy | Code | License |
|---|---|---|
| Psychologist Primary | 103T00000X | 522057 (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.