Provider Demographics
NPI:1851430318
Name:DEFALCO-GIBBS, SARAH ANN RUTH (MA)
Entity Type:Individual
Prefix:MRS
First Name:SARAH
Middle Name:ANN RUTH
Last Name:DEFALCO-GIBBS
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:408 N CEDAR BLUFF RD STE 305
Mailing Address - Street 2:
Mailing Address - City:KNOXVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37923-3648
Mailing Address - Country:US
Mailing Address - Phone:658-885-8188
Mailing Address - Fax:865-888-5819
Practice Address - Street 1:408 N CEDAR BLUFF RD STE 305
Practice Address - Street 2:
Practice Address - City:KNOXVILLE
Practice Address - State:TN
Practice Address - Zip Code:37923-3648
Practice Address - Country:US
Practice Address - Phone:658-885-8188
Practice Address - Fax:865-888-5819
Is Sole Proprietor?:No
Enumeration Date:2007-02-05
Last Update Date:2024-01-18
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health