Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. KENNETH RICHARD GIBSON III, PH.D.
Active Sole ProprietorPsychologist · NORTHVILLE, MI
Registration Details
- NPI Number
- 1457548067
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 27, 2007 (18.627881971379 yrs)
- Last Updated
- Sep 27, 2007
- License
-
6301002367 (MI)
- Sole Proprietor
- Yes
Practice Information
- Address
-
18471 HAGGERTY RDNORTHVILLE, MI, 481688513Browse MI providers · Browse ZIP 48168
- Phone
- 2487356713
- Fax
- 2483496893
- Primary Specialty
-
Psychologist
103T00000X
Other Psychologist Providers in NORTHVILLE, MI
| Name | Credential | NPI |
|---|---|---|
| DR. DAVID MICHAEL CONNELL | PHD | 1649210931 |
| DR. TIMOTHY FRANCIS HOGAN | PSY.D. | 1245248327 |
| MRS. MARY DIPAOLO | MA LLP | 1023117694 |
| DR. GAIL DIANE MAJCHER | PH.D. | 1003989005 |
| MS. JENNIFER LYNN FELICELLI | M.S., LLP | 1013155514 |
| DR. HUGH DONALD BRAY | PH.D. | 1912136094 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.