Gibson, Kenneth Richard

Gibson, Kenneth Richard is an sole proprietor health care provider with primary practice located at 18471 Haggerty Rd , Northville MI 48168-8513. He recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as his primary health care specialty. Gibson, Kenneth Richard can be contacted via phone (248) 735-6713.

Contact Information

Primary practice address
18471 Haggerty Rd Northville MI 48168-8513
Fax: (248) 349-6893
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X 6301002367 Michigan

Profile Details

NPI number 1457548067
LBN Legal business name Gibson, Kenneth Richard
Credentials PH.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 27th, 2007
Last updated Sep 27th, 2007 - about 17 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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