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DR. THERESA L. GIBSON PH.D. NPI 1134365497


NPI Information

NPI: 1134365497
Provider Name: DR. THERESA L. GIBSON, PH.D.
Classification: Psychologist - 103TC2200X
Entity Type: Individual

Specialization: Clinical Child & Adolescent

Address:
11111 CARMEL COMMONS BLVD
SUITE 220
CHARLOTTE, NC
ZIP 28226
Phone: (704) 540-5411
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DR. Theresa L. Gibson, PH.D. is a clinical child and adolescent psychologist in Charlotte, NC. The provider is a psychologist who develops and applies scientific knowledge to the delivery of psychological services to infants, toddlers, children and adolescents within their social context. Of particular importance to the specialty of clinical child psychology is an understanding of the basic psychological needs of children and adolescents, and how the family and other social contexts influence the socio-emotional adjustment, cognitive development, behavioral adaptation and health status of children and adolescents. DR. Theresa L. Gibson, PH.D. NPI is 1134365497. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

11111 CARMEL COMMONS BLVD
SUITE 220
CHARLOTTE, NC
ZIP 28226-319
Phone: (704) 540-5411
Fax: (704) 540-4933

The enumeration date for this NPI number is 12/16/2008 and was last updated on 12/16/2008.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1103TC2200XPsychologistClinical Child & Adolescent2607NORTH CAROLINAYes

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: 11/14/2023

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