National Provider Identifier

Nicole Gibson, PHD

Nicole Gibson, PHD is listed in the NPPES registry with a primary specialty of Clinical Psychologist in Rochester, NY and a listed phone number of (585) 586-1600.

NPI 1831787415Rochester, NYClinical Psychologist

Profile Overview

NPI
1831787415
Provider Type
Individual
Primary Specialty
Clinical Psychologist
Enumeration Date
January 08, 2021
Last Updated
January 08, 2021

Practice Location

  • 100 Linden Oaks Ste 200
  • Rochester, NY 14625-2831

Phone: (585) 586-1600

Specialties

  • Clinical Psychologist (103TC0700X)
Full Record
NPI
1831787415
Entity Type
Individual
Last Name
Gibson
First Name
Nicole
Name Prefix
Dr.
Credential
PHD
Mailing Street Address
100 Linden Oaks Ste 200
Mailing City
Rochester
Mailing State
NY
Mailing ZIP Code
14625-2831
Mailing Country
US
Mailing Phone
(585) 586-1600
Practice Street Address
100 Linden Oaks Ste 200
Practice City
Rochester
Practice State
NY
Practice ZIP Code
14625-2831
Practice Country
US
Practice Phone
(585) 586-1600
Enumeration Date
January 08, 2021
Last Updated
January 08, 2021
Sex
Female
Sole Proprietor
Yes
Certification Date
January 08, 2021
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Clinical Psychologist (103TC0700X)
Other Identifiers
P108332 (NY, Nys Psychology Board- State Education Department)