Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. KELLY JOAN CARLSON GIBAS, DBH
ActiveCognitive & Behavioral Psychologist · MAPLE GROVE, MN
Registration Details
- NPI Number
- 1588189955
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Aug 7, 2017 (8.7453031342067 yrs)
- Last Updated
- Aug 7, 2017
- License
-
CC01539 (MN)
Practice Information
- Address
-
13700 REIMER DR N STE 220MAPLE GROVE, MN, 553114548Browse MN providers · Browse ZIP 55311
- Phone
- 7634242474
- Fax
- 7634242711
- Primary Specialty
-
Cognitive & Behavioral Psychologist
103TB0200X
- Additional Specialty
- Health Educator
- Additional Specialty
- Cognitive & Behavioral Psychologist
Other Cognitive & Behavioral Psychologist Providers in MAPLE GROVE, MN
| Name | Credential | NPI |
|---|---|---|
| MICHELLE K. PEMBLE-FRAZEY | PHD | 1013116342 |
| DR. JULIE ANN GOMER | DBH | 1063781771 |
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.