NPI 1134861792

Jason Michael Gibbs, PHD

Practitioner Clinical Psychologist Hermitage, TN

Practice location

Address: 2017 Towering Oaks Dr, Hermitage, TN 37076-3741
Phone: (503) 502-0778

Registered specialties

Clinical Psychologist Primary

Behavioral Health & Social Service Providers Taxonomy 103TC0700X Licence 3805 (TN)

Other Psychologist providers in Tennessee →

Registry record

NPI: 1134861792
Entity type: Individual
Sex (as registered): Male
NPI issued: 12 Apr 2022
Record last updated: 12 Apr 2022

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.