Gibson, Paula W

Gibson, Paula W is an individual health care provider with primary practice located at 3970 N Oakland Ave Suite 502, Shorewood WI 53211-2265. She recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as her primary health care specialty. Gibson, Paula W can be contacted via phone (414) 962-9909.

Contact Information

Primary practice address
3970 N Oakland Ave Suite 502 Shorewood WI 53211-2265
Phone: (414) 962-9909
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X 2738-57 Wisconsin

Profile Details

NPI number 1588702203
LBN Legal business name Gibson, Paula W
Credentials PSYCHOLOGIST
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 2nd, 2007
Last updated Jun 1st, 2012 - about 14 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 1588702203 NPPES
Wisconsin MEDICAID 40993600
Wisconsin Other W12670

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