Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103TA0700X | Adult Development & Aging Psychologist | PSYC.00013522 | CO |
NPI | 1154827012 |
---|---|
Provider Name | Dr. Sheri Christine Gibson |
First Address | Colorado Springs, CO 80903-1018 |
Second Address | Colorado Springs, CO 80903-1018 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 31/03/2018 |
Last Update Date | 05/08/2021 |