Doctor Name: | DR. KATHERINE NMI GIBBS |
NPI Number: | 1053345611 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | CO1676 |
Business Practice Address: | 1125 Lincoln Ave. West Park Place Bldg Steamboat Springs, CO - 80487 |
Business Phone Number: | 9708797540 |
Business Fax Number: | 9708706682 |
Mailing Address: | Po Box 880066, STEAMBOAT SPRINGS |
State: | CO |
Postal Code: | 804880066 |
Phone Number: | 9708797540 |
Fax Number: | 9708706682 |
NPI Enumeration Date: | 07/10/2006 |
NPI Last Update Date: | 07/09/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TC0700X |
License Number: | CO1676 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CO |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: |