Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. GIBSON BUCKLEY CONDIE, PH.D.
Active Sole ProprietorDR. GIBSON BUCKLEY CONDIE, PH.D. is a Child, Clinical Psychologist healthcare provider located in POWELL, Wyoming. NPI 1750478376 is currently active in the NPPES registry. Verify at CMS.
Child, Clinical Psychologist · POWELL, WY
Registration Details
- NPI Number
- 1750478376
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 6, 2006 (19.815178712362 yrs)
- Last Updated
- Jul 9, 2007
- License
-
SP03 (WY)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1054 VALI ROADPOWELL, WY, 82435Browse WY providers · Browse ZIP 82435
- Phone
- 3077543860
- Fax
- 3077540920
- Primary Specialty
-
Child, Clinical Psychologist
103TC2200X
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.