Healthcare Provider Details

I. General information

NPI: 1629874334
Provider Name (Legal Business Name): KATHRYN ROSE GIBSON
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/22/2025
Last Update Date: 02/22/2025
Certification Date: 02/22/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

63 SILKEY RD
NORTH GRANBY CT
06060-1419
US

IV. Provider business mailing address

63 SILKEY RD
NORTH GRANBY CT
06060-1419
US

V. Phone/Fax

Practice location:
  • Phone: 860-917-6937
  • Fax:
Mailing address:
  • Phone: 860-917-6937
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: