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
Phone: (314) 721-7903
Fax:
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1629370275 | NPPES |
Missouri | Other | R7978 | STATE MEDICAL LICENSE NUMBER |
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