Gibbard, Suzanne

Gibbard, Suzanne is an individual health care provider with primary practice located at 522 West Washington Ave , Jonesboro AR 72401. She recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as her primary health care specialty. Gibbard, Suzanne can be contacted via phone (870) 935-6621.

Contact Information

Primary practice address
522 West Washington Ave Jonesboro AR 72401
Fax: (870) 933-8919
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X 9724P Arkansas

Profile Details

NPI number 1407888662
LBN Legal business name Gibbard, Suzanne
Credentials PH D
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 7th, 2006
Last updated Jul 8th, 2007 - about 19 years 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1407888662 NPPES
Arkansas Other 5S877 BCBS

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