Provider Demographics
NPI:1679719280
Name:GIBBS, VERONICA ANN (LPC)
Entity Type:Individual
Prefix:MS
First Name:VERONICA
Middle Name:ANN
Last Name:GIBBS
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6200 BROOKTREE RD
Mailing Address - Street 2:STE. 210
Mailing Address - City:WEXFORD
Mailing Address - State:PA
Mailing Address - Zip Code:15090-9299
Mailing Address - Country:US
Mailing Address - Phone:412-559-4564
Mailing Address - Fax:724-531-6021
Practice Address - Street 1:6200 BROOKTREE RD
Practice Address - Street 2:STE. 210
Practice Address - City:WEXFORD
Practice Address - State:PA
Practice Address - Zip Code:15090-9299
Practice Address - Country:US
Practice Address - Phone:412-559-4564
Practice Address - Fax:724-531-6021
Is Sole Proprietor?:No
Enumeration Date:2009-01-02
Last Update Date:2009-01-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPC003306101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional