Gibson, Vanessa
Gibson, Vanessa is an sole proprietor health care provider with primary practice located at 835 Mason St Ste B220 , Dearborn MI 48124-2262. She recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as her primary health care specialty. Gibson, Vanessa can be contacted via phone (313) 561-9064.Contact Information
Primary practice address
835 Mason St Ste B220
Dearborn MI 48124-2262
Phone: (313) 561-9064
Fax: (313) 563-4480
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | 6361003791 | Michigan |
Profile Details
| NPI number | 1770640252 |
|---|---|
| LBN Legal business name | Gibson, Vanessa |
| Credentials | MS, LLP |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 3rd, 2007 |
| Last updated | May 1st, 2024 - about 7 months 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 | 1770640252 | NPPES |
| Michigan | Other | 6361003791 | LICENSE |
| Michigan | Other | 6301011057 | LICENSE |
| Michigan | Other | V0011057 | LICENSE |
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