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DR. ROBERT GWYN GIBBY PH.D.

Clinical Neuropsychologist

Richmond, Virginia

Provider NPI: 1811077183

Provider Information:
DR. ROBERT GWYN GIBBY PH.D.
Gender: M
Sole Proprietor


Practice Location:
1601 ROLLING HILLS DR SUITE 200 RICHMOND, VA 23229 US
Tel: 804-249-8302  Fax: --

Business Mailing Address:
PO BOX 478  MIDLOTHIAN, VA 23113 US
Tel: 804-794-8171  Fax: 804-794-3787

Entity Type: Individual

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y103G00000XBehavioral Health & Social Service Providers
Clinical Neuropsychologist
VA0810000686

Other Provider Identifiers:

IssuerNumberStateType
BC/BS453076VA01
7705689VA05
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin







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