Gibson-Pettibon, Lisa Marie

Gibson-Pettibon, Lisa Marie is an individual health care provider with primary practice located at 5638 Professional Cir , Indianapolis IN 46241-5042. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Behavioral Analyst, Behavioral Health & Social Service Providers / Behavior Technician, Behavioral Health & Social Service Providers / Social Worker. Behavioral Health & Social Service Providers / Social Worker is her primary health care specialty. Gibson-Pettibon, Lisa Marie can be contacted via phone (317) 247-8900.

Contact Information

Primary practice address
5638 Professional Cir Indianapolis IN 46241-5042
Phone: (317) 247-8900
Fax: (317) 247-8935
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X
Behavioral Health & Social Service Providers / Social Worker 104100000X

Profile Details

NPI number 1750423059
LBN Legal business name Gibson-Pettibon, Lisa Marie
Credentials MSW
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 13th, 2007
Last updated Sep 14th, 2022 - about 2 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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