Provider Demographics
NPI:1144417700
Name:GIBB, HEATHER E (MA)
Entity Type:Individual
Prefix:MISS
First Name:HEATHER
Middle Name:E
Last Name:GIBB
Suffix:
Gender:F
Credentials:MA
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Mailing Address - Street 1:3711 LONG BEACH BLVD
Mailing Address - Street 2:6TH FLOOR
Mailing Address - City:LONG BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:90807-3315
Mailing Address - Country:US
Mailing Address - Phone:562-485-3083
Mailing Address - Fax:562-216-2337
Practice Address - Street 1:3711 LONG BEACH BLVD
Practice Address - Street 2:6TH FLOOR
Practice Address - City:LONG BEACH
Practice Address - State:CA
Practice Address - Zip Code:90807-3315
Practice Address - Country:US
Practice Address - Phone:562-485-3083
Practice Address - Fax:562-216-2337
Is Sole Proprietor?:No
Enumeration Date:2007-09-27
Last Update Date:2007-09-27
Deactivation Date:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC2200XBehavioral Health & Social Service ProvidersPsychologistClinical Child & Adolescent