DR. GINA LYNN GIBSON (NPI# 1295974210) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295974210 |
| Entity Type | Individual |
| Full Name | DR. GINA LYNN GIBSON |
| Credential | PHD |
| Practice Address |
1602 W Pinhook Rd Ste 303 Lafayette LA 70508-3735 |
| Practice Telephone | 3375344214 |
| Practice Fax Number | 3374841405 |
| Mailing Telephone | 3375344214 |
| Mailing Fax Number | 3374841405 |
| Enumeration Date | 2009-02-14 |
| Last Update Date | 2020-09-16 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103G00000X | Clinical Neuropsychologist | Behavioral Health & Social Service Providers | ||
| N | 103TC1900X |
Psychologist Specialization: Counseling |
1091 | LA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194116079 | Gina Gibson | Occupational Therapist | 3333 University Ave Se, Minneapolis, MN 55414-3325 | 2015-02-12 |
| Street Address |
1602 W PINHOOK RD STE 303 |
| City | LAFAYETTE |
| State | LA |
| Zip Code | 70508-3735 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639641343 | Lahna Rung Roche | Counselor | 1602 W Pinhook Rd Ste 303, Lafayette, LA 70508-3735 | 2018-12-19 |
| 1477023257 | Comprehensive Behavioral Health Center | Clinical Neuropsychologist | 1602 W Pinhook Rd Ste 303, Lafayette, LA 70508-3735 | 2018-12-05 |
| 1508362641 | Strother-boudreaux, LLC | Community/Behavioral Health | 1602 W Pinhook Rd Ste 303, Lafayette, LA 70508-3735 | 2018-04-05 |
| 1598261638 | Strother-bergeron, LLC | Community/Behavioral Health | 1602 W Pinhook Rd Ste 303, Lafayette, LA 70508-3735 | 2018-04-05 |
| 1174029219 | Darren M. Strother, Phd, LLC | Clinic/Center | 1602 W Pinhook Rd Ste 303, Lafayette, LA 70508-3735 | 2018-04-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346868676 | Cypress Bend Oral & Maxillofacial Surgery | Dentist | 106 Rue Bastille, Lafayette, LA 70508 | 2020-07-13 |
| 1184250607 | Learning Grove Therapy LLC | Clinic/Center | 105 Anaheim Lane, Lafayette, LA 70508 | 2020-03-16 |
| 1780218727 | Jennifer Trumps | Case Manager/Care Coordinator | 200 Entergy Parkway, Lafayette, LA 70508 | 2020-02-28 |
| 1740749605 | Hunter Sy Arceneaux | Physical Therapist | 1700 Kaliste Saloom Road, Building 3, Suite 300, Lafayette, LA 70508 | 2019-03-19 |
| 1295292787 | Brad Michael Gros | Counselor | 160 South Beadle Road, Lafayette, LA 70508 | 2019-02-21 |
| 1205337581 | Alternative Perspectives, LLC | Clinic/Center | 2807 Kaliste Saloom Rd Ste B, Lafayette, LA 70508 | 2018-02-22 |
| 1124528807 | Zachariah James Hebert | Counselor | 1602 W Pinhook Rd Suite 100a, The Family Tree, Lafayette, LA 70508 | 2018-02-19 |
| 1164934477 | Ilyas Munshi, Md Apmc | Non-Pharmacy Dispensing Site | 99 W. Martial Ave, Lafayette, LA 70508 | 2017-10-26 |
| 1447761226 | Louisiana Orthopaedic Specialists, LLC | Durable Medical Equipment & Medical Supplies | 4231 Ambassador Caffery Pkwy, Suite 102, Lafayette, LA 70508 | 2017-10-19 |
| 1306365457 | Mk Dixon Counseling and Consulting | Counselor | 105 Industrial Parkway, Lafayette, LA 70508 | 2017-09-10 |
| Find all providers in zip 70508 | ||||
| Taxonomy Code | 103G00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Clinical Neuropsychologist |
| An individual with a doctorate degree, licensure in clinical psychology and specialized training or board certification in neuropsychology who practices or adheres to the principles of neuropsychology; a specialty within the field of psychology focusing primarily on neurobehavioral functioning. |
| Notes: Source: American Psychological Association, Washington, DC, 1997. [1/1/2007: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447896253 | Kristen Wortman Psychology, P.C. | Clinical Neuropsychologist | 3738 Mt Diablo Blvd Ste 306, Lafayette, CA 94549-3600 | 2019-11-27 |
| 1396882445 | Elea Bernou | Clinical Neuropsychologist | 3744 Mt Diablo Blvd Ste 305, Lafayette, CA 94549-3602 | 2007-01-30 |
| 1316978935 | Larry James Benoit | Clinical Neuropsychologist | 119 Caillouett Pl, Lafayette, LA 70501-7807 | 2006-07-05 |
| 1831173384 | Janet A Lemmon | Clinical Neuropsychologist | 1120 W South Boulder Rd Ste 201d, Lafayette, CO 80026-8952 | 2005-11-29 |
| 1477023257 | Comprehensive Behavioral Health Center | Clinical Neuropsychologist | 1602 W Pinhook Rd Ste 303, Lafayette, LA 70508-3735 | 2018-12-05 |
| 1164621785 | Bianchini-strother, LLC | Clinical Neuropsychologist | 850 Kaliste Saloom Rd, Suite #103, Lafayette, LA 70508-4230 | 2007-07-13 |
| 1538383831 | Clare Ames-klein | Clinical Neuropsychologist | 895 Moraga Rd, Suite 10, Lafayette, CA 94549-5094 | 2007-04-11 |
| 1578786745 | Glenn A. Ally, Ph.d. | Clinical Neuropsychologist | 155 Hospital Dr, Suite 200, Lafayette, LA 70503-2852 | 2007-04-10 |
| 1437272945 | Glenn A Ally | Clinical Neuropsychologist | 155 Hospital Dr, Suite 200, Lafayette, LA 70503-2852 | 2007-04-09 |
| 1952434524 | Lynn Wayne Aurich | Clinical Neuropsychologist | 125 Ridgeway Dr, Suite A-1, Lafayette, LA 70503-3404 | 2007-03-13 |
| Find all providers in LAFAYETTE | ||||
Please comment or provide details below to improve the information on DR. GINA LYNN GIBSON.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.