DYLAN GIBBONS NPI 1043820384

NPI Information

NPI: 1043820384
Provider Name: DYLAN GIBBONS
Classification: Counselor - 101YM0800X
Entity Type: Individual

Specialization: Mental Health

Address:
62 WEDGEWOOD RD
WORCESTER, MA
ZIP 01602
Phone: (508) 963-5360
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Dylan Gibbons is a mental health counselor in Worcester, MA. Dylan Gibbons NPI is 1043820384. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

62 WEDGEWOOD RD
WORCESTER, MA
ZIP 01602-027
Phone: (508) 963-5360

The enumeration date for this NPI number is 8/2/2020 and was last updated on 8/2/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YM0800X	Counselor	Mental Health			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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