NPI 1023729514
Stephen Gibson
Practice location
- Address
- 850 E Franklin Rd STE 402, Meridian, ID 83642-8917
- Phone
- (208) 258-7917
Registered specialties (6)
Behavior Analyst
Primary
Mental Health Counselor
Cognitive & Behavioral Psychologist
Addiction (Substance Use Disorder) Counselor
Clinical Child & Adolescent Psychologist
Intellectual & Developmental Disabilities Psychologist
Registry record
- NPI
- 1023729514
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 6 Dec 2022
- Record last updated
- 11 Dec 2024
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.