DR. GIBSON BUCKLEY CONDIE (NPI# 1750478376) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750478376 |
| Entity Type | Individual |
| Full Name | DR. GIBSON BUCKLEY CONDIE |
| Credential | PH.D. |
| Practice Address |
1054 Vali Road Powell WY 82435 |
| Practice Telephone | 3077543860 |
| Practice Fax Number | 3077540920 |
| Mailing Telephone | 3077543860 |
| Mailing Fax Number | 3077540920 |
| Enumeration Date | 2006-10-06 |
| Last Update Date | 2007-07-09 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC2200X |
Psychologist Specialization: Clinical Child & Adolescent |
SP03 | WY | Behavioral Health & Social Service Providers |
| Street Address |
1054 VALI ROAD |
| City | POWELL |
| State | WY |
| Zip Code | 82435 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841762648 | Cynthia Jean Garhart | Counselor | 235 East 2nd Street, Powell, WY 82435 | 2018-12-19 |
| 1982114138 | Peggy Ruth Cheatham | Case Manager/Care Coordinator | 317 S Day St, Powell, WY 82435 | 2017-10-02 |
| 1669921532 | Heavens Peak Behavioral Health Services, Ins | Clinic/Center | 64 Safe Haven Rd, Powell, WY 82435 | 2016-10-03 |
| 1730636895 | Kara Baus | Registered Nurse | 112 Safe Haven Road, Powell, WY 82435 | 2016-09-07 |
| 1942620208 | Susan C Hawkinson | Speech-Language Pathologist | 558 E 2nd St., Children's Resource Center Attention: Ila Jean Jenkins, Powell, WY 82435 | 2014-04-24 |
| 1376963801 | Shelby Marie Frost | Nurse Practitioner | 246 N Absaroka St, Powell, WY 82435 | 2014-04-23 |
| 1578993549 | Doni Lauk | Case Management | 458 S Ferris St, Powell, WY 82435 | 2013-11-12 |
| 1144579731 | Move On Physical Therapy, Inc. | Physical Therapist | 1201 E. 7th Street, Powell, WY 82435 | 2012-08-29 |
| 1992008841 | Justin Dean Mccoll | Counselor | 89 Rd 8 Ra, Powell, WY 82435 | 2010-12-15 |
| 1588977250 | James Lloyd | Obstetrics & Gynecology | 777 Ave H., Powell Valley Healthcare, Powell, WY 82435 | 2010-07-22 |
| Find all providers in zip 82435 | ||||
| Taxonomy Code | 103TC2200X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical Child & Adolescent |
| Definition to come... |
| Notes: [1/1/2007: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770718629 | Kimberly Ann Stark-dickason | Psychologist | 75 Clairedan Dr, Powell, OH 43065-8064 | 2009-05-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972840379 | Jbg Consulting | Psychologist | 6855 Squaw Creek Road, Jackson, WY 83001 | 2013-01-07 |
| 1932424488 | Peaceful Families PC | Psychologist | 507 E 18th St, Cheyenne, WY 82001-4617 | 2010-03-27 |
| 1598803413 | Kenneth Bell | Psychologist | 940 E 3rd St, Ste 212, Casper, WY 82601-3237 | 2007-02-02 |
Please comment or provide details below to improve the information on DR. GIBSON BUCKLEY CONDIE.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.