| Doctor Name: | DR. MERYL REIST GIBBEL |
| NPI Number: | 1700150489 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PHD |
| License Number: | PS017168 |
| Business Practice Address: | 283 South Butler Road Mt Gretna, PA - 170640550 |
| Business Phone Number: | 8009320359 |
| Business Fax Number: | |
| Mailing Address: | 283 South Butler Road, MT GRETNA |
| State: | PA |
| Postal Code: | 170640550 |
| Phone Number: | 8009320359 |
| Fax Number: | |
| NPI Enumeration Date: | 02/28/2012 |
| NPI Last Update Date: | 02/28/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC0700X |
| License Number: | PS017168 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | PA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | |