Gibbons, Nancy M

Gibbons, Nancy M is an individual health care provider with primary practice located at 966A Park St , Stoughton MA 02072-3650. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Gibbons, Nancy M can be contacted via phone (781) 341-0923.

Contact Information

Primary practice address
966A Park St Stoughton MA 02072-3650
Fax: (781) 341-0994
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 1020270 Massachusetts

Profile Details

NPI number 1073650990
LBN Legal business name Gibbons, Nancy M
Credentials LICSW
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 31st, 2007
Last updated Jul 8th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1073650990 NPPES
Massachusetts Other P06689 BCBSMA

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