Gibson, Theresa L.

Gibson, Theresa L. is an sole proprietor health care provider with primary practice located at 11111 Carmel Commons Blvd Suite 220, Charlotte NC 28226-5319. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical Child & Adolescent, which is considered as her primary health care specialty. Gibson, Theresa L. can be contacted via phone (704) 540-5411.

Contact Information

Primary practice address
11111 Carmel Commons Blvd Suite 220 Charlotte NC 28226-5319
Phone: (704) 540-5411
Fax: (704) 540-4933
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical Child & Adolescent 103TC2200X 2607 North Carolina

Profile Details

NPI number 1134365497
LBN Legal business name Gibson, Theresa L.
Credentials PH.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 16th, 2008
Last updated Dec 16th, 2008 - 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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