National Provider Identifier
William Gibson, PHD
William Gibson, PHD is listed in the NPPES registry with a primary specialty of Clinical Psychologist in Canandaigua, NY and a listed phone number of (585) 393-7496.
Source: public NPPES record, last updated March 01, 2011. This profile is informational and is not medical advice, a quality rating, or a provider recommendation.
Profile Overview
- NPI
- 1962439059
- Provider Type
- Individual
- Primary Specialty
- Clinical Psychologist
- Enumeration Date
- June 26, 2006
- Last Updated
- March 01, 2011
Practice Location
- 400 Fort Hill Ave
- Canandaigua, NY 14424-1159
Phone: (585) 393-7496
Specialties
- Clinical Psychologist (103TC0700X)
- Clinical Neuropsychologist (103G00000X)
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Biography
The NPPES record for William Gibson, PHD lists Clinical Psychologist as the primary taxonomy and Canandaigua, NY as the practice location.
Full Record
- NPI
- 1962439059
- Entity Type
- Individual
- Last Name
- Gibson
- First Name
- William
- Credential
- PHD
- Mailing Street Address
- 400 Fort Hill Ave
- Mailing City
- Canandaigua
- Mailing State
- NY
- Mailing ZIP Code
- 14424-1159
- Mailing Country
- US
- Mailing Phone
- (585) 393-7496
- Mailing Fax
- (585) 393-7429
- Practice Street Address
- 400 Fort Hill Ave
- Practice City
- Canandaigua
- Practice State
- NY
- Practice ZIP Code
- 14424-1159
- Practice Country
- US
- Practice Phone
- (585) 393-7496
- Practice Fax
- (585) 393-7429
- Enumeration Date
- June 26, 2006
- Last Updated
- March 01, 2011
- Sex
- Male
- Sole Proprietor
- No
- Taxonomies
- Clinical Psychologist (103TC0700X), Clinical Neuropsychologist (103G00000X)
- Other Identifiers
- 423635 (PA, PA Blue Shiled), 651123-01 (PA, Bc/Bs Of MD Care First), 835851000 (PA, Magellan), 50058633 (PA, Captial Blue Cross)