Dr. Theresa L. Gibson
Clinical Child & Adolescent Psychologist
11111 Carmel Commons Blvd Suite 220
Charlotte
, North Carolina 28226-5319
Dr. Theresa L. Gibson
Clinical Child & Adolescent Psychologist
11111 Carmel Commons Blvd Suite 220
Charlotte
, North Carolina 28226-5319
(704) 540-4933
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About
Features
Specialties
- Clinical Child & Adolescent Psychologist
Languages spoken
- English
Location
First Address
- Dr. Theresa L. Gibson
- 11111 Carmel Commons Blvd Suite 220
- Charlotte, NC
- Zip : 28226-5319
- Fax : (704) 540-4933
- Phone : (704) 540-5411
Second Address
- Dr. Theresa L. Gibson
- 11111 Carmel Commons Blvd Suite 220
- Charlotte, NC
- Zip : 28226-5319
- Fax : (704) 540-4933
- Phone : (704) 540-5411
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 103TC2200X | Clinical Child & Adolescent Psychologist | 2607 | NC |
National Provider Identifier
| NPI | 1134365497 |
|---|---|
| Provider Name | Dr. Theresa L. Gibson |
| First Address | Charlotte, NC 28226-5319 |
| Second Address | Charlotte, NC 28226-5319 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 16/12/2008 |
| Last Update Date | 16/12/2008 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.