Provider Demographics
NPI:1265551352
Name:DIDIER-GIBSON, CATHERINE MICHELLE (DC)
Entity type:Individual
Prefix:DR
First Name:CATHERINE
Middle Name:MICHELLE
Last Name:DIDIER-GIBSON
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1522 S UNION ST
Mailing Address - Street 2:
Mailing Address - City:OPELOUSAS
Mailing Address - State:LA
Mailing Address - Zip Code:70570-5878
Mailing Address - Country:US
Mailing Address - Phone:337-678-3300
Mailing Address - Fax:337-678-3345
Practice Address - Street 1:1522 S UNION ST
Practice Address - Street 2:
Practice Address - City:OPELOUSAS
Practice Address - State:LA
Practice Address - Zip Code:70570-5878
Practice Address - Country:US
Practice Address - Phone:337-670-3300
Practice Address - Fax:337-678-3345
Is Sole Proprietor?:No
Enumeration Date:2007-03-28
Last Update Date:2020-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA1434111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
11793495OtherCAQH