Gibson, Linda Lee

Gibson, Linda Lee is an sole proprietor health care provider with primary practice located at 7751 Carondelet Ave Ste. 605, Clayton MO 63105-3316. She recently has only one registered license in Behavioral Health & Social Service Providers / Psychoanalyst, which is considered as her primary health care specialty. Gibson, Linda Lee can be contacted via phone (314) 721-7903.

Contact Information

Primary practice address
7751 Carondelet Ave Ste. 605 Clayton MO 63105-3316
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychoanalyst 102L00000X R7978 Missouri

Profile Details

NPI number 1629370275
LBN Legal business name Gibson, Linda Lee
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 1st, 2010
Last updated Dec 1st, 2010 - about 14 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 1629370275 NPPES
Missouri Other R7978 STATE MEDICAL LICENSE NUMBER

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